The CMS next year will ask Medicare beneficiaries how their providers are doing under new payment models aimed at improving the quality of care while lowering cost. But critics say it's not likely to help consumers.
The CMS has approved a waiver that will allow Massachusetts to overhaul its Medicaid program by putting its beneficiaries into accountable care organizations.
What groups are responsible for tackling social determinants of health, how their efforts should be funded, and what models actually work are a few of the challenges in efforts to improve population health.
How healthcare organizations are creating fully connected point of care ecosystems to help ensure a seamless patient experience.
The upcoming presidential election will have far-reaching consequences on the future of healthcare in the U.S., but no matter the results, the changes already forged by the Affordable Care Act are here to stay, a panel of policy and legal experts said this week.
Experts speaking this week at a University of Chicago symposium on the Affordable Care Act agree the healthcare law is a step toward fixing a broken system by incentivizing physicians to produce better outcomes, but on the road to paying for value instead of volume, the industry has miles to go.
The program is modeled after a similar one from Maryland that covers only hospitals. The Vermont ACO will cover Medicare, Medicaid and commercial payers, requiring those who participate to pay similar rates for all services.
In January, Vermont will become the first state in the nation to move to a voluntary all-payer accountable care organization model, the CMS announced Wednesday. The Vermont program is modeled after a similar one from Maryland, but the Maryland program covers only hospitals.
Unlike healthcare thought leaders and policy wonks, only a scant few practicing physicians are committed to population health management, value-based care and the “triple aim.”
Healthcare industry leaders are pushing back against the Medicare Payment Advisory Commission's criticism of accountable care organizations. The panel is considering making changes that would force providers to take on more risk.
Vermont has received tentative approval from the Obama administration to establish an all-payer reimbursement system for healthcare providers in the state starting in January.
Providers now face a lower-stakes set of decisions but the same mandate to wean themselves off of fee-for-service pay.