Payment approaches to addressing health equity are seen in a new Medicare rule for kidney care
Updates to a Center for Medicare & Medicaid Innovation care model for end-stage renal disease include an equity-related bonus payment and associated changes to benchmarking.
The impact of COVID-19 further shows the need to modify federal pay-for-performance models, hospital advocate says
Quality measures derived during the COVID-19 pandemic are not an accurate gauge of hospital performance in federal programs such as Value-Based Purchasing.
The Provider Relief Fund distribution formula may have left some higher-need hospitals at a disadvantage, study finds
Critical access hospitals generally received lower allocations from a targeted distribution pool compared with hospitals that had a better asset mix.
The Medicare area wage index likely needs a revamp, MedPAC members say
Wage index adjustments leave some hospitals at a disadvantage and are costly for the Medicare program, according to policy advisers.
Accountable care models will be almost universal for Medicare and Medicaid beneficiaries by 2030, CMS leaders say
A forthcoming revamp of federal value-based payment models will include features designed to encourage provider participation, CMS and CMMI leaders said.
Hospital groups express concern over earlier court ruling that could expand False Claims Act liability
The groups argue that allowing FCA claims to be brought for post-termination actions would defy congressional intent and leave hospitals subject to excessive financial liability.
With substantial Medicare payment cuts pending, medical groups call for Congress to act
Payment cuts scheduled for 2022 would amount to a 9.75% reduction in Medicare revenue for medical groups, which are calling on Congress to pass legislation to stop the cuts.
The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says
The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.
After a long wait, HHS sends out details on the next Provider Relief Fund distributions
The U.S. Department of Health and Human Services announced $25.5 billion in upcoming distributions from the Provider Relief Fund.
Site-of-care payment issues get highlighted by UnitedHealthcare and MedPAC
A new report issued by a leading health plan is the latest sign that hospitals and health systems can expect payers to ramp up implementation of site-neutral payments.