Medicare Payment and Reimbursement

Is healthcare’s focus shifting from value to pricing?

Federal policy advisers see a shift from value-based payment to policies focused on cutting provider payments.

By Rich Daly July 10, 2019

July 8-12: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 8.

By Rich Daly July 8, 2019

July 1-5: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 1.

By Rich Daly July 2, 2019

What the numbers from PAC-improvement efforts show

Efforts to reduce spending on post-acute care have been shown to reduce variation in Medicare spending overall, while also reducing hospital readmissions.

By Chad Mulvany, FHFMA June 30, 2019

Primary Care First Model holds promise but faces challenges

CMS's Primary Care First Model aims to create incentives for primary care physicians to take on risk under value-based payment, but whether it will be successful remains to be seen.

By Gail R Wilensky, PhD June 30, 2019

Policy advisers urge continued Medicare ‘squeeze’ of hospital pay

Medicare can drive hospital productivity improvements and spending controls through more pay cuts, said policy advisers.

By Rich Daly June 25, 2019

3 details for healthcare providers to know before taking on risk

Providers looking to take on downside ACO risk need to first understand three determinants of success.

By Rich Daly June 25, 2019

Providers press CMS for details amid lingering uncertainty about new primary care models

The possibility of conflicts between Medicare payment models joined the customary concern about benchmarking details in provider feedback on coming primary care models, an administration official said.

By Rich Daly June 20, 2019

CMS identifies keys to success in bundled payment as BPCI-A deadline looms

Ahead of next week’s deadline for providers to join the largest voluntary bundled payment program, the agency in charge of the program identified lessons learned from successful participants.

By Rich Daly June 19, 2019

Four key takeaways from Congress’s latest single-payer hearing

Although the first hearing by a healthcare committee on recent coverage expansion proposals was supposed to encompass a range of Democratic bills, national single-payer proposals garnered almost all the attention.

By Rich Daly June 19, 2019
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