The Trump administration is looking at new risk structures, including direct provider contracting, to drive cost-saving behaviors in the healthcare industry. But CMMI Director Adam Boehler said that won't dent the Medicare Advantage business.
Google, Amazon, Microsoft, IBM, Oracle and Salesforce came together to push more comprehensive health data exchange, which they said will improve outcomes and lower costs.
ACOs would have to attest every year that a certain percentage of their eligible clinicians are using EHRs that meet 2015 Edition certification requirements, a move that would more closely align requirements with those of the Quality Payment Program.
The new chief health informatics officer will manage the CMS' interoperability and general health IT strategy, according to a blog post from CMS Administrator Seema Verma. The application period for the position closes July 20.
CMS' risk-adjustment changes under the Next Generation ACO Model sparked concerns from some ACOs that they couldn't make money under the program.
A federal judge ruled the federal government hadn't shown that statements the insurer made about billing data accuracy would have affected payment of the claims.
During his six years at the CMS, Dr. Patrick Conway oversaw the agency's big push into value-based reimbursement. While he's now removed from rulemaking, Conway remains passionate about the idea of linking payment to outcomes.
The CMS has unveiled a new voluntary bundled-payment model that will be considered an advanced alternative payment model under MACRA.
Congressional Republicans are still actively trying to dismantle the Affordable Care Act, most recently folding repeal of the individual mandate into the tax reform bill. Instead of "repeal and replace," the strategy appears to be "co-opt and confuse."
The general counsel, acting with four others, falsified expenditure reports submitted to the agency that runs Florida's Medicaid program.
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.
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.