Medicare Payment and Reimbursement

CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.

Provider participation in the largest Medicare voluntary bundled payment program surged in its third year.

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.

The number of Medicare ACOs has stagnated, but many more are taking on financial risk.

Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.

Bundled payment program savings appear limited to lower joint replacement, and changes may be needed to improve the programs, according to new research.

As Maryland's Medicare Total Cost of Care priogram enters its second year, it It is a goodtime to revisit the program to understand its essential elements and implications for the nation's healthcare system.

The dramatic conclusion of new research that hospitals prices are more than 200 percent of Medicare rates is raising questions among industry analysts.

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Montana moved its hospitals to Medicare-based payment rates to help reduce costs for its state-employee health plan.