Payment | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Payment

NAACOS, AMA, Others Urge CMS to Reconsider MSSP Proposed Changes

September 21, 2018  |  Rajiv Leventhal, Managing Editor
news
NAACOS and eight other healthcare stakeholder groups have sent a letter to CMS, expressing concerns about the federal agency’s proposed changes to the Medicare Shared Savings Program.

Check and Checkmate: Is the Debate Around the MSSP ACO Program About to Get Super-Heated?

September 12, 2018  |  Mark Hagland
commentary
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

Seema Verma’s Big Picture: Tough Love, ACO Acceleration, Interoperability, and Consumer Empowerment?

August 29, 2018  |  Mark Hagland
commentary
Will CMS Administrator Seema Verma’s strategy of pushing hard on providers around ACO development and interoperability help to accelerate the shift to value-based healthcare—or will it backfire?

PODCAST: Dr. Rita Numerof on CMS’ New ACO Proposals: “It’s Been a Long Time Coming”

August 23, 2018  |  Rajiv Leventhal, Managing Editor
article
A prominent healthcare consultant weighs in on a new regulation that could shake up the ACO landscape.

At the SHIEC Annual Conference, National Coordinator Rucker Offers a Cautious Opening Keynote

August 20, 2018  |  Mark Hagland, Editor-in-Chief
article
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

Assessing CMS’s Risky Move on Risk: Has Seema Verma Pushed MSSP ACOs Into Uncharted Territory?

August 13, 2018  |  Mark Hagland, Editor-in-Chief
commentary
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

Pondering the Psychology of Incentives in Bundled-Payment Contracts

July 27, 2018  |  Mark Hagland
commentary
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

Could Last Week’s Proposed-Rule Release Represent an Inflection Point for CMS and for Value-Based Federal Payment?

July 18, 2018  |  Mark Hagland
commentary
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?

BREAKING: CMS Proposes Dramatic Changes with Aim to “Modernize Medicare and Restore Doctor-Patient Relationships”

July 12, 2018  |  Rajiv Leventhal
article
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.”

The Rocky Path to Value for Medicaid Programs—and HIT’s Key Role in Making It All Work

July 11, 2018  |  Mark Hagland
commentary
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

Researchers Find a Bundle of Complications Around Bundled Payment Outcomes

June 14, 2018  |  Mark Hagland
commentary
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

CMS Hits MIPS Participation Goal for Year One

June 4, 2018  |  Rajiv Leventhal
news
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.

Rethinking Observation Stays and Readmissions: Experts Study the Issue

May 31, 2018  |  Mark Hagland
commentary
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

Karen DeSalvo Joins MedPAC as New Member

May 30, 2018  |  Rajiv Leventhal
news
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.

Dr. Glenn Steele on the Path Forward Towards Care Delivery Transformation

May 20, 2018  |  Mark Hagland
article
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

Are Federal Health Officials Fed Up With Providers’ Unwillingness to Take on Downside Risk?

May 14, 2018  |  Mark Hagland
commentary
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

GAO: Just 4 of 37 CMMI Payment Models Have Met Goals around Cost, Quality

May 11, 2018  |  Rajiv Leventhal
news
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.

EXCLUSIVE: Substantial ACO Reforms Could be Forthcoming

May 9, 2018  |  Rajiv Leventhal
article
Healthcare Informatics has learned that a CMS rule is forthcoming that could shorten the duration ACOs can stay in one-sided risk models.

At the HLTH Conference, Former CMMI Director Patrick Conway Looks Back, and Forward

May 8, 2018  |  Mark Hagland
article
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

Verma Criticizes “Upside-Only” ACOs in Remarks at AHA Membership Meeting

May 7, 2018  |  Rajiv Leventhal
news
At this week’s AHA annual membership meeting, CMS Administrator Seema Verma asserted that “upside-only” ACOs that do not take on downside risk are not producing good enough results.

HHS Secretary Alex Azar Gives Industry Leaders a Map of the New Healthcare

May 4, 2018  |  Mark Hagland
commentary
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

At the World Health Care Congress, a Business Leader and a Hospital Leader Talk About Disruption and Data

May 1, 2018  |  Mark Hagland
article
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

Former HHS Secretary Price Emphasizes Consumer Options and Voluntary Payment Programs in World Health Care Congress Keynote

May 1, 2018  |  Rajiv Leventhal
article
During his keynote speech at the World Health Care Congress in Washington, D.C. this week, former HHS Secretary Tom Price, M.D., spoke about the need “to fix a broken healthcare system.”

At the World Health Care Congress, a Probing Discussion of the Shift Towards Value

April 30, 2018  |  Mark Hagland
article
The shift towards a value-based healthcare system in U.S. healthcare is going to be rocky, industry leaders agreed, during a panel Monday at the World Health Care Congress

At World Health Care Congress, CMS’s Seema Verma Promotes Patient Choice, Criticizes ACA Provisions

April 30, 2018  |  Mark Hagland
article
In an addresss at the World Health Care Congress, CMS Administrator Seema Verma shared her perspectives on healthcare costs, outlined her approach to regulatory reform, and strongly criticized the ACA

CMS will Make Medicare Advantage Data Available to Researchers

April 27, 2018  |  Rajiv Leventhal
news
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.

In Proposed MU Rebranding Rule, CMS Raises the Interoperability Stakes

April 26, 2018  |  Rajiv Leventhal and Heather Landi
article
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.

BREAKING: CMS to Rebrand Meaningful Use Program with New Emphasis on Interoperability, Burden Reduction

April 24, 2018  |  Rajiv Leventhal
article
In a rule released late in the afternoon on April 24, the Centers for Medicare & Medicaid Services (CMS) has made clear its intention to overhaul the meaningful use program.

In Response to Public Comments on CMMI, CMS will Consider Direct Provider Contracting Model

April 24, 2018  |  Rajiv Leventhal
article
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.

In Asking for MIPS Flexibilities, Providers Make Legitimate Points

April 23, 2018  |  Rajiv Leventhal
commentary
I was quite intrigued to see the specifics in the recent letter that healthcare provider groups sent CMS about reducing the burden that MIPS requirements have put on clinicians.

Pages

Subscribe to Payment