Last Tuesday, providers gathered in Washington, D.C. to advocate against the Medicare direct contracting program, arguing that it could become the end of Medicare.
Members of Physicians for a national Health Program (PNHP), which supports a single-payer healthcare system brought petitions to appeal to U.S. Department of Health and...
Officials with the Center for Medicare and Medicaid Innovation (CMMI) published a strategic plan last Wednesday to make value-based care (VBC) payment models more streamlined in order to increase provider and patient participation. Since President Joe Biden took office, many alternative payment models (APMs) were put on hold or under...
Medicare Advantage market penetration remains strong with abundant room for growth according to analysis of the Open Enrollment Period for Medicare Advantage (MA) and prescription drug plans (PDPs). As of March 1 of this year, total MA membership stands at 27,158,911 with 2,408,192 new members gained year-over-year from...CMS Rules
The Medicare Payment Advisory Commission (MedPAC) agreed that the Department of Health and Human Services (HHS) must put together a consolidated group of alternative payment models in order to improve demonstrations.
From the commission's recommendation:
The Secretary should implement a more harmonized portfolio of fewer spending...National News
In September, the Centers for Medicare and Medicaid Services released the Evaluation Report of the First Three Years (2017-2019) of the Medicare Advantage Value-Based Insurance Design Model Test, conducted by RAND Health Care.
The Value-Based Insurance Design (VBID) allows Medicare Advantage (MA) plans to offer incentives to...National News
When a large national employer removed cost sharing for primary care visits, medical utilization fell, as did monthly costs, driven mostly by reduced emergency department (ED) visits, according to research findings from a study published May 10 in the American Journal of Managed Care.
Findings in a nutshell: The removal of cost...National News
Designing benefits packages so that members pay less for high-value services and pay more for unnecessary, low-value services should result in lower overall costs and improved satisfaction. The VBID for Medicare Advantage has been expanded to all 50 states. Others are taking VBID to the exchanges. At the University of Michigan VBID...
