The Centers for Medicare and Medicaid Services (CMS) publishes annual star ratings for nursing homes, Medicare Advantage plans, hospitals and home health agencies. Ratings are based on a number of performance measures on a scale of one to five stars.
The CMS site can often times be cumbersome and difficult to navigate, with...
Health Care Payment Learning & Action Network (HCPLAN) White Papers explore Population-Based Payment Models and their effects
What is a Population-Based Payment Model (PBP)?
A PBP is like an Accountable Care Organization. Population-based payments allot a group of providers a set amount of money for patient care. If the group comes...Toolbox
Making sense of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
The Medicare Access and CHIP Reauthorization Act of 2015 will facilitate a transition in the healthcare system from a fee-for-service payment delivery system to a value-based system. The law establishes two new payment delivery models that shift the...Toolbox
A deeper look at the expanding practice of telemedicine
American Medical Association:
Coverage of and payment for telemedicine
The AMA recognizes telemedicine as a vital part of expanding healthcare coverage to those in rural areas, while also helping to curb the cost of care. As telemedicine spreads throughout the nation, the AMA...Toolbox
A look at the Next Generation Accountable Care Organization
CMS Slideshow: Next Generation ACO Model
There are six basic principles of the Next Generation ACO Model:
Protect Medicare Fee-for-Service (FFS) beneficiaries’ freedom of choice;
Allow beneficiaries a choice in their alignment with the ACO;
Create a financial model...Toolbox
CMS' collection of manufacturers and group purchasing organizations payments and transfers to physicians and teaching hospitals
Learn more about the 2015 Open Payments Program and System Overview including:
What is Reported
Who is Responsible for Reporting
Who is Reported On
Types of Payments