Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director
The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
Analysis: FY20 appropriations bills passed – lessons for potential future healthcare legislation
A review of the FY20 appropriations package to fund the federal government and a couple of ideas on lessons that might be applied to future efforts to expand coverage.
‘Medicare for All’: What would it really mean for healthcare stakeholders?
“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.
Why initiate health plan contract testing?
Various circumstances require providers to prepare for the impact of payment changes.
How to use contract testing and analysis to prepare for payment change
Whether a contract is new or up for renewal, a thorough understanding of the financial implications of changes to provider-payment terms is vital for continued operations.
Analysis: Timeline for CMS’s mandatory radiation oncology model appears to slip
It’s not surprising CMMI has slowed its pace on finalizing the proposed mandatory radiation oncology payment model given the complexity of the model and stakeholder opposition.
Analysis: More options for providers looking to directly contract with employers for episodes of care
Platforms like Carrum Health’s are meeting the demands of employers for higher-value care and the providers who want to meet these demands.
Analysis: What healthcare providers need to know about short-term limited-duration health insurance products going into 2020
Healthcare providers need to be aware they will likely encounter an increase in the number of patients who have purchased short-term health insurance, with its limited benefits, that will be available on the healthcare exchange in 2020.
Take this job and shove it: 2 PTAC members quit in frustration over CMMI opposition to committee recommendations
The result of CMMI’s reluctance to accept recommendations from the field is one of many factors that stymies the transition to value.