Doctors are potentially facing a loss of millions in Medicare reimbursement dollars due to a lack of MACRA-related guidance from the CMS.
HHS Secretary Tom Price wants to allow doctors to charge seniors more than Medicare payment rates, claiming it will draw more physicians into the system. Some physician groups say the move could backfire.
When the Accountable Care Coalition of Southeast Texas and the Accountable Care Coalition of Chesapeake joined Medicare's Next Generation ACO model, they took on significant financial risk, but had more flexibility to change the way they cared for patients.
Healthcare leaders must collaborate to ensure the patient-doctor relationship is preserved and care quality continues to improve as changes in clinical standards and government affect the way medicine is practiced.
HHS' Office of Inspector General says the CMS has made significant progress on implementing Medicare's new payment framework for physicians. But the watchdog agency also named technology systems as a critical challenge still ahead.
The roller coaster of value-based payment continued its thrill ride in 2016.
The CMS plans to enlist states in a new experiment allowing Medicare accountable care organizations to also manage Medicaid costs for patients who are enrolled in both programs.
Leaders in all sectors of healthcare are scrambling to anticipate how the incoming Donald Trump administration and Republican-controlled Congress will proceed with major issues like their promises to repeal the Affordable Care Act and implement the Medicare Access and CHIP Reauthorization Act.
In one of his final public appearances as the head of the CMS, Andy Slavitt said that losing any gains made by the Affordable Care Act will drive up long-term health care costs.. He also said future reform should aspire to reach universal coverage.
Trinity Health CEO Dr. Richard Gilfillan was the first director of the CMS Innovation Center, an agency created to test value-based delivery models. In an interview a day after the election, he says he's confident those experiments will continue.
Physicians have pledged to retire or leave Medicare as a result of burdens placed on them by the recently finalized payment rule. That could spur Republicans, soon to be fully in charge of the government, to slow federal value-based payment efforts.
The Medicare Access and CHIP Reauthorization Act final rule released earlier this month includes funding to create and implement a core set of performance measures to be used by private and public insurers alike.