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New CMS Data on ACOs: Maybe Not a High-Speed Train, But a Train Nonetheless

October 17, 2017  |  Mark Hagland
commentary
CMS’s release last week of data from the Pioneer and Next Gen ACO programs revealed genuine progress being made among participating ACOs—with lots of opportunity for ongoing improvements, of course

With the Future of CMMI in Dynamic Flux, One Federal Advocacy Leader Shares His Perspectives

October 13, 2017  |  Mark Hagland
article
Like leaders of other healthcare professional associations, Blair Childs of Premier Inc. has been carefully watching what’s been happening with the Center for Medicare and Medicaid Innovation (CMMI), as CMMI’s payment innovation work remains an industry focus

As North Carolina Moves Towards Medicaid Managed Care, Its Leaders Approach the Operational Issues

October 11, 2017  |  Mark Hagland
article
As North Carolina moves to transform its Medicaid program into a managed care one, its operations leaders are tackling the process and IT challenges involved, notes Sam Gibbs, a speaker at the upcoming Health IT Summit in Raleigh

At ATLAS Conference, Experts Analyze the Wide-Ranging Implications of Health Policy

September 19, 2017  |  Rajiv Leventhal
article
At the ATLAS conference, thought leaders discussed the current health policy landscape and how patient access, evolving care delivery models, and innovation all could be impacted.

The AMA’s David Barbe, M.D.: Let’s Work Together to Optimize MD Outcomes Reporting

September 16, 2017  |  Mark Hagland
article
The current president of the American Medical Association, David Barbe, M.D., discusses the challenges and opportunities around physician outcomes reporting under MACRA/MIPS—and what healthcare IT leaders can do to collaborate with physician leaders

MGMA: Some Physicians “Getting Fleeced” When Receiving Electronic Paychecks

September 11, 2017  |  Rajiv Leventhal
news
Nearly one in five doctors surveyed in a recent MGMA (Medical Group Management Association) Stat poll reported that their electronic funds transfer (EFT) payments from health plans come with a fee.

Senate Appropriations Bill Calls for Boost in NIH Funding

September 8, 2017  |  Rajiv Leventhal
news
The Senate Committee on Appropriations has approved a 2018 budget bill that aims to push forward investments in the National Institutes of Health (NIH)—an agency which President Trump previously hoped to cut funding from.

AMIA, Premier, AHA and AMA Comment on CMS’s 2018 MACRA Proposed Rule

August 21, 2017  |  Heather Landi
news
Several healthcare and health IT organizations submitted recommendations and comments to the Centers for Medicare & Medicaid Services’ (CMS’s) 2018 proposed rule on the Quality Payment Program (QPP) established under the Medicare Access and CHIP...

Is HHS’ Proposal to Scale Back Mandatory Bundled Payments a Step Back from Value-Based Care? Many Healthcare Experts Say No

August 18, 2017  |  Heather Landi
article
Does HHS’s proposal to eliminate mandatory bundled payments signal that CMS is taking its foot off the accelerator in the movement to advanced alternative payment models? Some healthcare experts say no, as value-based payment models continue to drive forward.

What New Research Says about Which Federal Financial Incentives Produce Health System Change

August 18, 2017  |  Mark Hagland
commentary
A new study in Health Affairs looks at the extent to which meaningful use incentives actually spurred EHR adoption—and what the implications are for federally driven incentives for change going forward

Aledade Announces New Physician-Led ACO in New Jersey

August 16, 2017  |  Rajiv Leventhal
news
Aledade, a Bethesda, Md.-based company started by Farzad Mostashari, M.D., and focused on physician-led accountable care organizations (ACOs), is forming a new ACO in New Jersey under this model.

NCQA Offers Comments to CMS on Quality Payment Program 2018 Rule

August 15, 2017  |  Rajiv Leventhal
news
In comments to CMS, the National Committee for Quality Assurance (NCQA) has offered several suggestions that it thinks the federal agency should consider before writing the final Quality Payment Program rule for 2018.

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