Adding a seventh track to the advanced payment model would provide a better bridge from the Medicare Shared Savings Program (MSSP) to the ACO REACH model, according to the National Association of Accountable Care Organizations NAACOS. CMS is taking your comments.
According to a NAACOS blog post by David Pittman, the organization's...National News
The Centers for Medicare and Medicaid Services (CMS) is requesting feedback on the design of an episode-based payment model on behalf of the Center for Medicare and Medicaid Innovation (CMMI/Innovation Center).
Episode-based payment models are designed to address inadequacies in traditional Medicare through bundling and incentive...National News
The CMS application portal opened on February 21, 2023; the agency will accept applications for its third cohort of participants for 100 days through May 31, 2023.
The alternative payment model demonstration was launched in 2018 to test whether bundling Medicare payments for certain inpatient and outpatient care reduces spending and...Arizona News
Last year, the Centers for Medicare and Medicaid Innovation (CMMI) released a Request for Information as it sought comments for its Oncology Care First (OCF) proposal, a voluntary model open to physician groups and hospital outpatient departments offering two payment mechanisms. Now it is considering the addition of clinical laboratory...National News
The Centers for Medicare & Medicaid (CMS) proposed to extend the Comprehensive Care for Joint Replacement (CJR) model for an additional three years.
Currently set to expire at the end of this year, the proposal would extend the Medicare bundled payment model until Dec. 2023. It provides participating providers with a fixed...National News
A study released this week found the rate of recovery and the length of a patient’s stay at a nursing facility are correlated with a patient’s mobility and their ability to care for themselves. This contributes evidence that Medicare’s bundled-payment program could negatively affect nursing homes and rehabilitation...National News
Another Health Affairs study found no evidence of reduced spending or quality improvement for other bundled clinical episodes.
One Health Affairs study, "The Impact Of Bundled Payment On Health Care Spending, Utilization, And Quality: A Systematic Review," included a systematic review and impact of the Acute Care Episode...News
Los Angeles-based CHA Hollywood Presbyterian Medical Center (HPMC), a subsidiary of CHA Medical Group, was accepted to participate as part of the first cohort of hospitals to improve quality of care in Medicare’s BPCI-A initiative.
HPMC has designed and implemented a continuing care program that continues to provide...Arizona News
As an alternative Medicare payment model, bundled payment for care improvement (BPCI) programs aim to reduce spending by creating incentives for providers to remove expendable costs.
Bundled payments are “episode-based,” relevant to specific conditions or treatments in which providers are expected to absorb service costs and...National News
It is an interactive tool called the "MIPS Action Plan".
MIPS (Merit-based Incentive Payment System) is one of the two components of the Quality Payment Program, which was created under the Medicare Access and CHIP Reauthorization Act (MACRA). Surveys have shown most physicians are not ready to participate in MIPS, nor do they have...National News
American Medical Association and consulting firm KPMG released a report this week that indicates the majority of medical practices are not compliant.
The Medicare Access and CHIP Reauthorization Act is well underway in its first year rollout. The survey looked at responses from 1,000 physicians who have been involved in practice...News
Optima Healthcare Solutions white paper discusses the possible expansion of the MA program, and expected continuation of value-based care and the COP rule
Home health agencies are preparing to comply with new conditions of participation (COP) rules July 13, 2017. The new COP regs are the first comprehensive update from CMS since...
