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Could HHS and CMS Shift Direction on Mandatory Bundled Payments? It’s an Intriguing Prospect

January 11, 2018  |  Mark Hagland
commentary
Alex Azar’s comments in his Senate Finance Committee confirmation hearings were highly intriguing; only time will tell what might happen to mandatory bundled payments under his direction, at Health and Human Services

When State Medicaid Leaders Talk, We Need to Listen

December 10, 2017  |  Mark Hagland
commentary
The discussion that took place at the Sloan School of Management at MIT last month was highly relevant to a host of issues around not only Medicaid program reform, but overall health system reform across the U.S. healthcare system

Catalyst for Payment Reform’s Suzanne Delbanco on ACO Measurement and the CVS-Aetna Deal

December 8, 2017  |  Mark Hagland
article
Suzanne Delbanco, Ph.D. of Catalyst for Payment Reform, which is focused on helping employer-purchasers get value for their spending, shares her perspectives on the CVS-Aetna merger, and on CPR’s new ACO value measurement tool

Healthcare Spending: CMS Researchers See a Mixed Landscape on Inflation

December 7, 2017  |  Mark Hagland
article
After a period of lowered healthcare spending inflation, the U.S. healthcare system is expected to return to historical norms of spending growth, researchers from CMS have found

Physician Survey Indicates Incremental Progress in Shift to Value-Based Pay

November 30, 2017  |  Heather Landi
news
A survey of 386 family physicians conducted by the American Academy of Family Physicians (AAFP) and Humana indicates a growing acceptance of value-based payments, reflected in IT, care coordination and other investments, yet major barriers still exist.

The MACRA QPP 2018 Final Rule: Is It a Glass Half-Empty or a Glass Half-Full?

November 7, 2017  |  Mark Hagland
commentary
What one thinks of the QPP CY 2018 final rule could depend at least partly on a number of factors, including where one “sits” in the healthcare stakeholder constellation—and what one might have to do to respond to it, as a result

BREAKING NEWS: CMS Publishes CY 2018 MACRA QPP Final Rule

November 2, 2017  |  Mark Hagland, Rajiv Leventhal, Heather Landi, and David Raths
article
Late in the afternoon on Thursday, Nov. 2, CMS published its calendar-year 2018 Quality Payment Program final rule, under the MACRA law, with important modifications for physicians

With the Proposed CVS Bid for Aetna, Time for Healthcare Leaders to Think in Three-Dimensional Chess Terms

October 29, 2017  |  Mark Hagland
commentary
The proposed acquisition of health insurer Aetna by mega-retail pharmacy chain CVS may well signal a key turning point in the market-competitive landscape of U.S. healthcare—and provider leaders had better start engaging in scenario-planning for that new world

Readmissions Readjustment: Time to Think Carefully about Any Impacts on Safety-Net Hospitals

October 24, 2017  |  Mark Hagland
commentary
A new study in The New England Journal of Medicine is shedding light on some of the complexity around Medicare’s readmissions reduction program, and reinforcing the importance of federal officials’ exercising very good discernment going forward

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

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