Transforming from fee-for-service medicine to innovative, value-driven care is a behemoth task. The process is lengthy, resource-intensive, and requires extraordinary commitment from leaders, staff, and care providers. Committed organizations must often make significant changes to their strategic...
Administrators and physicians involved in the CMS' bundled-payment programs for total joint replacement say they're impressed with how the programs have engaged physicians to produce lower costs and better outcomes for patients.
The Trump administration has not been bashful about its desire to scale back several initiatives launched under its predecessor. Perhaps the most significant actions have been steps to reverse course on mandating that providers participate in various alternative-payment programs.
The Trump administration wants to dramatically scale back Medicare's bundled-payment program. It is the wrong move at the wrong time and should be opposed by all providers and insurers committed to moving from payment for volume to payment for value.
The Trump administration's cancellation of two mandatory pay models could signal to providers that they can value volume over quality, experts say.
Large employers are seeing a 5% increase in healthcare costs from last year. Similar increases have occurred over the past five years.
The CMS is interested in launching a new pay model that will target behavioral health services and is seeking public comment on what the new effort should look like. The announcement comes at a time when agency officials say they are still committed to value-based care.
In addition to Medicaid cuts that continue to be part of the GOP's plan to repeal and replace the Affordable Care Act, a 1,500-page Medicare payment rule and next year's physician fee pay rule all tighten reimbursement for providers, and most it spells trouble for hospitals.
Industry observers worry that the Trump administration's pullback from some alternative payment models could stall Medicare's march to value-based care.
Medical imaging use in the U.S. has dropped significantly after years of widespread growth, leading to curtailed hiring, equipment purchases and reduced access to the technology thanks to cuts in federal reimbursement and new coding arrangements, according to a new study.
Hospitals hope the delayed start of Obama-era bundled-payment initiatives for cardiac and orthopedic care will lead to voluntary participation in the demonstrations.
Alternative payment models are on the rise as health care organizations begin to implement MACRA and look for opportunities to improve care while reducing costs. Bundled payments may be an option for organizations just beginning to test the waters of APMs.