In late February, the Centers for Medicare and Medicaid Services (CMS) announced that after a full year of review, it would overhaul the Global Professional Direct Contracting Model and create the Accountable Care Organization (ACO) Realizing Equity, Access and Community Health (REACH) model. The redesign was intended to address...
It has been nearly a year since the Biden administration's Center for Medicare and Medicaid Innovation (CMMI) placed the Medicare Direct Contracting model (DC) under review. The Centers for Medicare and Medicaid Services (CMS) said last week that a decision on the alternative payment model (APM) would come "soon," leaving investors and...
Value-based payment arrangements are rapidly growing with several Arizona-based companies either joining national programs or expanding value-based design to other areas of the country. The National Association of Accountable Care Organizations (NAACOS) says that bigger changes can't come fast enough.
In a press release last week,...National News
The Direct Contracting payment model, devised under President Donald Trump's Center for Medicare and Medicaid Innovation (CMMI), grows more controversial as it has ended up in the crosshairs of Congressional progressives. But some Democrats and industry advocates support the payment model remaining on the table.
Early this month, more...National News
The COVID-19 pandemic has revealed the necessity for immediate changes to the healthcare system at large and placed value-based care, the model that rewards providers for better patient outcomes, at the center of that discussion. This week, the discussion extends to population health, interoperability, and preventative...Arizona News
The Next Generation accountable care organization (Next Gen ACO) alternative payment model will end in 2022, but not before it saved Medicare some significant money, according to new data from the Centers for Medicare and Medicaid Services (CMS). CMS found that in 2020, the Next Gen model saved $637 million on the whole, but that number...National News
This week, Congressional Democrats are sparring amongst themselves to bring President Joe Biden's infrastructure bill to a vote and the most public figure against the package as it stands now is Arizona's own Senator Kyrsten Sinema. What she wants is unclear, but what's in the balance includes closing a Medicaid loop hole and expansion...National News
Last week, the Centers for Medicare and Medicaid Services (CMS) announced it completed its audit of the many alternative payment models (APMs) offered through the Centers for Medicare and Medicaid Innovation (CMMI) in order to develop and strengthen a more coherent path forward to value-based insurance design. This week, CMS, providers...National News
This week, industry stakeholders discussed value-based care as it pertains to their business and said in no uncertain terms that the path forward for healthcare is through value-based care, with the Centers for Medicare & Medicaid Services' (CMS) alternative payment models (APMs) leading the way. Skilled nursing facilities and...National News
A new bill introduced by Representatives Suzan DelBene (D-Wash.), Peter Welch (D-Vt.), Darin LaHood (R-Ill.) and Brad Wenstrup (R-Ohio) looks to reverese Trump-era modifications to the Medicare Accountable Care Organization (ACO) program and restore higher cost savings to participating providers while removing some of the risk. The bill...Arizona News
An Alternative Payment Model (APM) is one way of delivering value-based care, as the shift from traditional fee-for-service to a value-based payment model continues, programs are continuously looking to serve as a catalyst in offering cost-effective, higher-quality care. APMs incentivize this goal and can apply to an episode, condition,...National News
American Medical Association used its Physician Practice Benchmark Surveys which comprise practice arrangement and payment information on active U.S. physicians.
We hear a lot about Alternative Payment Models, their use and successes. Becker's Hospital CFO Report delineates "Five Things to Know" from the AMA paper:
1. In 2016, more...
