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.
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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.
President-elect Donald Trump's promise to dismantle the Affordable Care Act is unlikely to also undo widespread efforts to nudge the U.S. healthcare system toward value-based payment, including experiments devised by the ACA-funded CMS Innovation Center.
Several provider groups as well as pharmaceutical companies and many Republican lawmakers say the center has too much authority to implement its demonstration projects aimed at reducing costs and improving quality of care.