This Center for Healthcare Quality & Reform report argues most value-based payment programs have failed to meaningfully reduce healthcare costs or improve patient outcomes. In many cases, spending has actually increased, while patients with complex needs have found it harder to access adequate care.
The problem isn’t lack of...Arizona News
As the novel coronavirus wreaks havoc on global economic data, risk-bearing Accountable Care Organizations (ACOs) are worried the pandemic could threaten a decade-long shift to value-based payment models. Many facilities are struggling to stay in business as a fast-approaching May 31 deadline to give notice to the Administration in...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
Long-term and post-acute care providers, including skilled nursing facilities (SNFs) are unable to implement the Centers for Medicare and Medicaid Services (CMS) value-based payment model without more advanced IT and technology support, according to a survey.
The survey of 1,640 long-term and post-acute care providers led by Black...Arizona News
The Department of Health and Human Services (HHS) unveiled a proposal spearheaded by the Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG) on Oct. 9 to make changes to anti-kickback legislation and Stark Law in an effort to modernize.
In a news release announcing the proposals, HHS...Arizona News
Starting Oct. 1 therapy payments to nursing facilities will shift to a value-based model, emphasizing patient needs over the amount of services provided. The Patient Driven Payment Model (PDPM), a more individualized approach, aims to reduce inflated billing by basing payments on patient's medical characteristics.
The new approach...
