Pilot to Offer APM Bonuses to Physicians in Medicare Advantage

July 3—Medicare plans to launch a pilot—as soon as this year—to allow physicians paid through Medicare Advantage value-based arrangements to qualify for the same bonuses as those working in advanced alternative payment models.

Rich Daly July 3, 2018

On Costs, Congress Eyes Transparency, Billing, Consolidation

July 2—Members of Congress say they are increasingly concerned about rising healthcare costs and are looking at policies around transparency, balance billing, and provider consolidation.

Rich Daly July 3, 2018

June 25-29: Congress to Focus on Healthcare Costs

June 21—A Senate committee next week plans the first in a series of hearings focused on ways to reduce healthcare costs.

Rich Daly June 22, 2018

Trump Administration to Replace Value-Based Payment Goal

June 20—Department of Health and Human Services (HHS) Secretary Alex Azar II has rejected the Obama administration’s goal of shifting 50 percent of Medicare payments to value-based payment models by the end of 2018.  

Rich Daly June 21, 2018

Amid Clashes, Senators See Bipartisanship on Transparency

June 20—Members of Congress remain deeply divided over health insurance approaches but see a path to bipartisan agreement on transparency.

Rich Daly June 21, 2018

Rejecting Hospital Concerns, Administration Expands Association Plans

June 19—Despite calls from major hospital groups to drop a proposed expansion of association health plans (AHPs), the Trump administration has finalized those rules.

Rich Daly June 20, 2018

Prospective Bundles, Downside Risk Models Trending: Survey

June 18—The prevalence of prospective bundled payment and downside risk among payment models offered by private health insurers surprised a sponsor of a new national survey.

Rich Daly June 19, 2018

Hospital Concerns Push CMS Time Out on Star Ratings

June 15—The stars and the data didn’t align for the Centers for Medicare & Medicaid Services (CMS), which said this week that it was postponing its scheduled July update to the agency’s star ratings for some 4,000 hospitals nationwide.

David Burda June 15, 2018

June 18-22: Congress to Review 340B Oversight

June 14—Members of a congressional panel will dive into ways to change the regulatory oversight of a major discount drug program, including steps that could have big hospital impacts.

Rich Daly June 14, 2018

Likely Government Responses to Hospital M&A Trends

June 14—Ongoing hospital merger-and-acquisition (M&A) trends may soon spawn more state and federal actions beyond antitrust enforcement, longtime policy advisers say.

Rich Daly June 14, 2018
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