The Medicare Advantage program continues to grow in popularity with both consumers and health plans. At least one-third of seniors are estimated to be in an MA plan rather than fee-for-service Medicare. As baby boomers retire in large numbers, health plans are competing to capture the Medicare Advantage market.
MedPAC proposed to slash payments in its March report to Congress. The commission specifically recommended a 30 percent payment rate reduction for off-campus standalone EDs that are no more than six miles from an on-campus hospital ED, according to the AHA.
In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.
The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.
The promises of value-based payment models came to life within the last 12+ months with results of real world tests. They quickly move to the implementation of useful models and processes. With ramped-up implementations overcoming value-based care barriers step out as real things.
In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.
Value-based payment allows payers to increase efficiency; however, transition to a value based payment model is a slow process involving some risk. To make a successful transition, payers can assess value-based payment models to gain perspective of the challenges and drivers of success.
New study finds over 40 states pursuing value-based payment programs, with 15 multi-payer initiatives across those states. The study reveals a range of approaches and significant variation in the scope, leadership commitment, and resources devoted to the transition from fee-for-service to value-based reimbursement.
U.S. News & World Report, the global authority in healthcare rankings, released the 2018 Best Medicare Plans. The new ratings are a resource for Medicare beneficiaries and their families searching for the best coverage options during the annual open-enrollment period, which began October 15 and runs through December 7, 2017.
In July of 2017, CMS and Maryland continued their partnership and announced the Care Redesign Program (CRP). The CRP is a new voluntary program within the Maryland All-Payer Model that advances efforts to redesign and better coordinate care in Maryland. The CRP provides hospitals participating in the Maryland All-Payer Model the opportunity to partner with and provide incentives and resources to certain providers and suppliers in exchange for their performance of activities and processes that aim to improve quality of care and reduce the growth in total cost of care for Maryland Medicare beneficiaries.