The CMS is asking for feedback on ways to promote competition in the market, enhance provider choice, encourage patient feedback and improve price transparency.
Under the Accountable Health Communities model, organizations will test ways to improve collaboration between healthcare providers and the local community and better address the social determinants of health.
Changes to the Affordable Care Act are inevitable in 2017. One often mentioned ACA target is the Center for Medicare & Medicaid Innovation, Medicare's test-bed for value-based payment models.
Share your opinion in the latest edition of our bi-weekly reader poll. Should every American be required to purchase or join a health insurance plan (with subsidies if needed to make affordable)?
The CMS is about to try rewarding hospitals that can get eligible patients to show up for cardiac rehabilitation. But cardiologists think it will take something more creative than financial incentives to get some patients to go.
The CMS is moving ahead with a new initiative that would make hospitals in 98 markets financially accountable for the cost and quality of all care associated with bypass surgery and heart attacks. But its critics include the man likely to be the next HHS secretary.
“The process and scope were the downfall of the model,” said Jennifer Snow of AmerisourceBergen Corp., a drug distribution and services company. Opponents of the program said it upset the balance between the executive and legislative branches.
Several top federal Medicare leaders have taken new roles just months before Donald Trump assumes the presidency.
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.
President-elect Donald Trump and congressional Republican leaders are promising to make repeal and replacement of the ACA one of their highest priorities in the first 100 days after they take full control of the federal government in January. But they face a rocky road.
CEO Dr. Richard Gilfillan previously led the Center for Medicare and Medicaid Innovation, which pilots value-based reimbursement experiments. Modern Healthcare Editor Merrill Goozner spoke with Gilfillan the day after the general election.
Today's elections surely won't end the eight-year political war over the shape of the U.S. healthcare system. But the ballot results likely will determine whether the changes driven by the ACA continue in the same direction or the system returns to its previous, less-regulated form.