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CMS expands value-based Medicare Advantage project to 25 states

CMS expands value-based Medicare Advantage project to 25 states

By Shelby Livingston  |  November 22, 2017

Starting in 2019, insurers in 15 more states will be able to participate in Medicare Advantage's value-based insurance design program. Plans encourage the use of high-value clinical services among chronically ill patients by lowering or eliminating cost-sharing.

Providers call on CMS for more flexible alternative payment models

Providers call on CMS for more flexible alternative payment models

By Maria Castellucci  |  November 20, 2017

Provider groups called on the CMS to create more opportunities for physicians to participate in existing and new alternative payment models to advance the Innovation Center's mission of moving healthcare delivery from volume to value.

Value of CMS' voluntary bundled-payment program remains unclear

Value of CMS' voluntary bundled-payment program remains unclear

By Virgil Dickson  |  October 31, 2017

For the third consecutive year, researchers cannot determine whether a voluntary Medicare bundled-pay initiative actually cut costs and improved care. The results come as the Trump administration seeks to scrap mandatory models in exchange for voluntary ones.

Hospitals warm up to CMS bundled payments as agency cools off on them

Hospitals warm up to CMS bundled payments as agency cools off on them

By Harris Meyer  |  October 26, 2017

Despite their original reservations, many hospital leaders have embraced Medicare's mandatory bundled-payment program for total joint replacements. New CMS data show nearly half of participating hospitals met their cost and quality targets and received financial rewards in 2016.

Guest Commentary: Continue the pursuit of value in healthcare

Guest Commentary: Continue the pursuit of value in healthcare

By Mike Boswood  |  October 24, 2017

While the future of the Affordable Care Act is still uncertain, a number of initiatives that began under the law have shown the kinds of results that transcend politics and will keep the focus on value over volume.

ACOs for specialty providers could be key to Medicare savings

ACOs for specialty providers could be key to Medicare savings

By Virgil Dickson  |  October 18, 2017

Although most value-based pay models focus on primary care services, providers and policy experts hope the recent financial success of accountable care organizations targeting dialysis patients will lead to more disease-specific pay models.

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