Accountable Care Organizations

Report by Medicare trustees describes a daunting payment picture for healthcare providers

The Medicare Hospital Insurance Trust Fund is on course to run out of money by 2026, and that assessment wasn’t the only concerning part for hospitals in a new government report.

Nick Hut September 8, 2021

4 keys to sustaining financial viability in the shift to value

A leading ACO in Texas has found a way to thrive despite systemic factors that can discourage value-based initiatives.

Andrew Ziskind, MD August 30, 2021

Evolving approach to federal value-based payment models will emphasize equity, affordability

Leaders with CMS and the Center for Medicare & Medicaid Innovation have published a rough blueprint of the future of value-based payment at the federal level.

Nick Hut August 16, 2021

FY22 rule for the Inpatient Prospective Payment System finalizes a payment increase and key policy updates

The base payment increase for hospital inpatient services in FY22 will be 2.5%, according to a final rule issued by CMS.

Nick Hut August 3, 2021

ACO leaders support new bill designed to boost participation in value-based payment

Accountable care organizations stand to benefit from a new bill that would increase investment funding and make changes to federal ACO programs, several executives said.

Nick Hut July 26, 2021

Why fee-for-service can have a place in a reimagined healthcare system, but not as the primary mode of payment

Fee-for-service came under fire during a workshop in which prominent healthcare industry experts spoke of ways to achieve better integration of financing and care delivery.

Nick Hut June 9, 2021

New research suggests there’s no need to worry that patient experience surveys lead to low-value healthcare

Findings from a new study may assuage concerns that low-value care is encouraged through the use of patient experience ratings in payment formulas.

Nick Hut June 1, 2021

News briefs: In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 IPPS

Recent healthcare finance and policy news included the release of the proposed rule for the FY22 Inpatient Prospective Payment System.

Nick Hut June 1, 2021

Looming changes to quality reporting in the Medicare Shared Savings Program draw strong pushback from healthcare providers

Healthcare provider organizations are petitioning the Biden administration to slow recently finalized quality-related changes to the Medicare Shared Savings Program.

Nick Hut May 18, 2021

CMMI announces Direct Contracting participants but cancels second round of applications

The Center for Medicare & Medicaid Innovation announced the 53 entities that have been accepted as participants in the new Global and Professional Direct Contracting model.

Nick Hut April 9, 2021
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