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.
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.
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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.
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.