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Latest

CMS selects four new markets for primary-care payment initiative

May 19, 2017  /  Medicare

CMS is doing a much more limited expansion of its primary-care payment model than originally anticipated due to low interest in the model.

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CMS gives 800,000 docs a pass on MACRA requirement

May 11, 2017  /  Medicare

More than 800,000 clinicians will not have to comply with Merit-based Incentive Payment System reporting requirements outlined in MACRA, which may save them millions collectively in compliance costs.

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Latest

Study: How this Pioneer ACO reduced Medicare costs by 6%

May 5, 2017  /  ACOs, Health Care Providers, Medicare

Based on an in-depth analysis of a Pioneer ACO, researchers determined ACOs with integrated care management programs are both effective and scalable methods to reduce utilization and spending.

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Latest

2 APMs Take Next Step As MACRA Physician-Focused Payment Models

April 23, 2017  /  Medicare

A federal committee approved two alternative payment model proposals for limited-scale testing as MACRA physician-focused payment models while rejecting one model.

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Latest

Hospitals could experience $250 billion decrease in reimbursement under MACRA

April 23, 2017  /  Medicare

Hospital reimbursement from Medicare could potentially decrease by $250 billion over a 15-year period under the Medicare Access and CHIP Reauthorization Act, according to a new study.

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Latest

Is Medicare’s Value-Based Reimbursement Rewarding Low-Quality Hospitals?

April 23, 2017  /  Medicare

Medicare is moving toward value-based payments, where hospital reimbursement is adjusted based on the cost or quality of care but a study led by University of Michigan researchers raises questions about whether such value-based payment is potentially penny-wise and quality-of-care-foolish.

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Latest

Implementing MACRA: Physicians who treat Medicare beneficiaries are looking at big changes

April 1, 2017  /  Medicare

This shift is potentially transformational but presents serious implementation and logistical challenges. Not all doctors embrace the change, and the philosophical and economic underpinnings of value-based payment—and the mechanisms to achieve it—continue to be vigorously debated.

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Latest

ACOs could help physicians earn up to 25% positive payment adjustment under MIPS

March 31, 2017  /  ACOs, Medicare

Participating in a Medicare Shared Savings Program ACO could potentially help physicians earn up to a 25 percent positive Medicare payment adjustment in 2018 under the Medicare Access and CHIP Reauthorization Act’s Merit-based Incentive Payment System.

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Latest

Lured by MACRA bonuses, more Medicare ACOs venture into risk

March 3, 2017  /  ACOs, Medicare

For the Accountable Care Coalition of Southeast Texas and the Accountable Care Coalition of Chesapeake, joining Medicare’s Next Generation ACO model simply made sense. 

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Latest

CMS: ACO coverage trends upwards in 2017

February 24, 2017  /  ACOs, Medicare

Expansion of MSSP and growth in the number of risk-sharing ACOs is due in large part to the passage of MACRA, which is accelerating the trend toward value-based initiatives through the Quality Payment Program. So far, it seems that MSSP has been successful saving a total of $466 million in 2015 and more than $1.29 […]

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