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News Clips
Modern Healthcare (5/13) Downside risk, upside payment highlight new CMS innovation agenda – The Center for Medicare and Medicaid Innovation plan prioritizes shared risk and prospective payments, streamlined quality measurement, artificial intelligence and other technologies, and Medicare Advantage payment models, Director Abe Sutton said in an interview Friday. "We need to make sure that people practicing in rural communities and people practicing independently can finance the investments necessary to serve patients,” Sutton said.
Modern Healthcare (5/15) ACOs call on Oz to fix Shared Savings Program benchmarking issue – Dozens of accountable care organizations are urging the federal government to fix a benchmark issue some say could cost them tens of thousands in average annual revenue. A wide-ranging group of 120 Medicare Shared Savings Program ACOs, spearheaded by the National Association of ACOs, wrote Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz Monday to urge the agency to zero out a factor in their financial calculations for contract years 2024 and 2025.
Modern Healthcare (5/16) Five things to know about the growing value-based care movement – Participation in value-based care is slowly on the rise, with significant room for growth through technology and programmatic changes, according to a new survey from the National Association of Accountable Care Organizations. The value-based care industry is at something of an inflection point, as major developments on Capitol Hill and in the regulatory sphere are likely to influence how quickly healthcare providers adopt value-based care arrangements. A new report from NAACOS and the digital healthcare company Innovaccer released Friday is based on a survey of providers across the industry to learn more about the tools providers are leveraging to improve their success in value-based care — and the obstacles impeding their participation.
Medical Economics (5/28) From revenue risk to resilience: A new financial model for rural physicians – Independent physicians in rural America are no strangers to adversity. An alarming 80 percent of rural America is medically underserved, and clinicians are feeling the pinch. In fact, between 2019 and 2024, the number of independent doctors in rural areas fell by 43 percent, and residents in rural areas had access to 11 percent fewer medical practices. Independent physicians are on the front lines of the rural health crisis and deserve financial models that reflect the realities they face, not just metrics designed for large, perfectly functioning systems. By rethinking success as “healthy patients, healthy practices,” small and rural practices can shift toward financial strategies supporting community well-being and long-term viability.
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