MACRA will fuel demand for the services of a burgeoning crop of vendors that specialize in helping providers collect, analyze and report performance data.
The Medicare Access and CHIP Reauthorization Act final rule released earlier this month includes funding to create and implement a core set of performance measures to be used by private and public insurers alike.
With polls showing Hillary Clinton with a big lead in the Nov. 8 election, Democratic political insiders are looking ahead. They say she will quickly name people to top health policy positions who are diverse in gender, race, and ethnicity, have sharp administrative skills, and can work in a...
Sending trained workers to high-risk patients' homes to help them with psychological, social and environmental challenges helped drastically reduce readmissions at one Maryland hospital.
The CMS has granted Washington state preliminary approval to overhaul its Medicaid program. As part of the five-year waiver, for which it will receive $1.5 billion in federal funding, the state will launch delivery-system reform initiatives, leverage partnerships between providers and social groups...
The agency has received nearly 1,800 comments on the waiver that includes job-requirement and cost-sharing provisions. In comparison, Ohio's recent request generated 103 comments, while Arizona's drew 98 comments.
Under the proposed waiver, the state of Washington will focus on the social needs of its Medicaid population and leverage partnerships between providers and social support groups in an attempt to improve patients' quality of care.
Most Medicaid medical homes will not count as an alternative pay model under MACRA, according to the final rule released Friday that implements the law. More than 1 million Medicaid beneficiaries are signed up in medical home models around the country.
What you don't measure, you can't improve. But if you measure everything, you are at risk of sending false signals about what's important and what's not.
Nearly a third of physicians could be exempt from Medicare's new Merit-based Incentive Payment System under a final CMS rule for implementing MACRA. The CMS will also broaden the opportunities for physicians to join alternative models that carry bigger rate increases and bonuses.
The percentage of Humana Medicare Advantage members in plans with four stars or higher fell by half, from 78% a year ago to 37%. Cigna has only 20% of its members in plans rated four stars or higher. Meanwhile, 91% of Aetna's members are enrolled in four-star plans.
The evidence clearly shows that small and rural practices are successful in improving care and lowering costs and even outperforming their urban peers. They are nimble and dedicated to the care of their communities.