Center for Health Care Strategies, Inc: (11/24) - Defining how Medicaid managed care organizations can best support advanced primary care can be challenging despite state Medicaid agencies’ desire to support advanced primary care models. CHCS developed a toolkit in partnership with the Commonwealth Fund to help states use their managed care purchasing authority to advance innovations in primary care.
Healthcare Innovation Group: (11/23) — The ACO landscape has been seen as a key step in redesigning the health care system. Success in ACO models takes a commitment to achieving physician buy-in and investments in technology infrastructure, among other things. This article explores some of the keys to success for ACO models and the importance of buy-in across the system.
PR Newswire: (11/23) - Signify recently acquired PatientBlox to accelerate its prospective provider payment capabilities for episodes of care. This move is supporting the company’s commitment to advance value-based care through novel payment and risk arrangements.
Fierce Healthcare: (11/23) — The Trump administration finalized the changes to the Stark and Anti-Kickback laws on Friday, drawing mixed reviews from stakeholders. Hospital groups like the American Hospital Association and the Federation of American Hospitals were optimistic about the changes, while physician groups like the American Medical Group Association (AMGA) expressed skepticism. AMGA noted that while the final rules demonstrate a willingness to help providers move towards value-based care, the risk requirements will still make the path to value difficult, even at a lower rate.
Healthcare Innovation: (11/23) - CMS recently released a list of participants for its Primary Care First model, a multi-payer APM that will be offered in 26 regions beginning in 2021. Payer partners have signed up to participate in every region except Hawaii and include payers such as Humana and Aetna.
Today Online: (11/20) — Independent and small practice physicians are retiring early or leaving their jobs due to the COVID-19 pandemic, as financial, safety, and mental health pressures have amplified problems that they were already facing.
Revcycle Intelligence: (11/19) - AMGA sent a letter urging Congress to provide new funding for the Provider Relief Fund to restart the Medicare Accelerated and Advanced Payments program. Rising COVID-19 cases was cited as a reason necessitating additional financial assistance, as many patients will need to delay or cancel elective procedures and an increase in cases will further strain health systems.
Fierce Healthcare: (11/19) - A survey by the Larry A. Green Center revealed that over one-third of physicians said patients with chronic conditions are in worse health as a result of the pandemic, with mental health particularly declining for patients in the last eight months. About 56 percent of physicians reported an increase in negative health burdens due to delayed or inaccessible care during the pandemic.
Revcycle Intelligence: (11/18) — New analysis in Health Affairs found that in an assessment of over a dozen CMS initiatives over the past 8 years, the population-based alternative payment models, like ACOs, saved Medicare the most money.
Becker’s ASC: (11/17) — U.S. physicians are increasingly concerned about finances during the COVID-19 crisis. A three-part survey from McKinsey & Co. found that 52 percent of small, independent practices were concerned about making it through COVID-19.