The publication this week in Health Affairs of a study sponsored by NAACOS that implicitly denounces CMS’s method for calculating the success of MSSP ACOs, is a fascinating move in a chess game playing out on multiple policy levels
Donald Rucker, M.D., National Coordinator for health IT, offered attendees at the 2018 SHIEC Annual Conference a cautious overview of some of the current issues around interoperability, burden reduction, and TEFCA
Will Seema Verma’s August 9 announcement of CMS’s new “Pathways to Success” proposal light a fire under the MSSP ACOs, or will it cause provider organizations to flee? CMS officials are taking a risky gamble—with no clear outcome
Healthcare policy researchers, in an op-ed piece in the Health Affairs Blog, ponder the differences between prospectively and retrospectively based bundled payment incentives to providers—at a moment of early experimentation
CMS’s release of a proposed rule that will impact a range of issues, from physician payment to quality measures, has unleashed a range of reactions from industry leaders—could this prove to be an inflection point?
CMS today proposed changes that the agency believes will “fundamentally improve the nation’s healthcare system and help restore the doctor-patient relationship by empowering clinicians to use their EHRs to document clinically meaningful information.”
Medical researchers share some insights on the broad range of challenges facing the pioneers attempting to move Medicaid towards value-based payment incentives, including around the key role that HIT and data analytics will play in success
An article published in the current issue of Health Affairs uncovers some of the complexities of mandatory and voluntary bundled payment programs, and some of the implications for their policy and payment future
According to CMS Administrator Seema Verma, 91 percent of all Merit-based Incentive Payment System (MIPS)-eligible clinicians participated in the first year of the Quality Payment Program (QPP), exceeding the agency’s internal goal.
As medical researchers writing in The New England Journal of Medicine are documenting, shifting some patients from normal inpatient stays to observation stays, is turning out to be a far more complicated proposition than meets the eye
Five new members have been added to the Medicare Payment Advisory Commission (MedPAC), including former National Coordinator for Health IT, Karen DeSalvo, M.D., the Government Accountability Office (GAO) announced.
Healthcare Informatics caught up recently with Glenn D. Steele, Jr., M.D., Ph.D., who has been busy spreading the gospel of the Geisinger approach to healthcare delivery innovation, U.S. healthcare system-wide
A series of tough public statements by senior federal healthcare officials point to an underlying problem: the federal experiment with accountable care isn’t moving the needle fast enough to really bend the overall healthcare cost curve
CMMI, created to test new and cost-effective approaches for delivering and paying for healthcare, has partially met its goals, while just four out of the innovation center’s 37 alternative payment models have actually achieved lower spending and higher quality.
Patrick Conway, M.D., CEO of Blue Cross and Blue Shield of North Carolina, was interviewed as part of a general session at the HLTH Conference—looking back on his tenure as CMMI Director, and forward into the future
On Wednesday at the World Health Care Congress in Washington, D.C., HHS Secretary Alex Azar offered attendees a conceptual map of the new healthcare, at least from the standpoint of federal healthcare policy
On Tuesday at the World Health Care Congress, Duke University Hospital’s Tom Owens, M.D. and venture capitalist John Doerr shared perspectives on transformational change in business and healthcare—and the role of data in that change
Furthering its goal to unleash the power of patient data, the Centers for Medicare & Medicaid Services (CMS) has announced its intention to make 2015 Medicare Advantage (MA) encounter data available to researchers.
April 26, 2018 | Rajiv Leventhal and Heather Landi
As health IT observers and stakeholders have begun to unpack the 1,883-page CMS proposed rule on meaningful use rebranding, discussion has emerged on if the government will be forcing providers to participate in health information exchange activities.
CMS has released the comments submitted by healthcare stakeholders in response to the CMS Innovation Center’s new direction RFI, while also announcing that the agency is considering a direct provider contracting model as a result of the feedback.