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Monday, January 31, 2022: Transition to Value

by Jordana Choucair | Jan 31, 2022 | Transition to Value

A RAND study found that health systems largely still pay primary care physicians and specialists based on volume-based incentives. Furthermore, 70 percent of practices use “increasing the volume of services delivered” as a means for physicians to increase their...

Thursday, January 27, 2022: Transition to Value

by Jordana Choucair | Jan 27, 2022 | Transition to Value

The CMS announced that 66 new ACOs joined the Medicare Shared Savings Program (MSSP) and 140 existing ACOs renewed their participation for a new agreement period starting January 1, 2022. This brings the total number of ACOs in the MSSP to 483 in 2022, up slightly...

Tuesday, December 7, 2021: Transition to Value

by Jordana Choucair | Dec 7, 2021 | Transition to Value

A report from consulting firm Mathematica found that the Independence at Home model hasn’t meaningfully improved primary care at home or curbed program costs. The report contradicts CMS, which has reported savings since the project launched six years ago....

Thursday, December 2, 2021: Transition to Value

by Jordana Choucair | Dec 2, 2021 | Transition to Value

The Center for Medicare and Medicaid Innovation withdrew a program focused on care coordination for seriously ill Medicare patients without primary care doctors. The program, which was intended to be part of the Primary Care First model, was nixed after a review found...

Monday, October 25, 2021: Transition to Value

by Jordana Choucair | Oct 25, 2021 | Transition to Value

CMS released the fourth evaluation report on The Next Generation Accountable Care Organization (NGACO) model, revealing that the program saved Medicare $637 million in 2020. After factoring in $909 million in shared savings and other payouts to NGACOs, the model was...

Wednesday, October 6, 2021: Transition to Value

by Jordana Choucair | Oct 6, 2021 | Transition to Value

Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler said the agency is looking to implement more mandatory value-based care payment models, including those focused on total costs. However, CMMI is moving away from having models for every disease,...
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