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Accountable Care Organizations (ACOs)

Accountable care organizations benefiting from skilled nursing woes

March 6, 2018  |  I Advance Senior Care

Skilled nursing providers have long been wary of accountable care organizations (ACOs), fearing that the models’ emphasis on cost-sharing might drive dollars away from their buildings. And a new study shows that those concerns might be grounded in reality...

Bye-bye, CMMI?

September 20, 2017  |  Pamela Tabar, Editor-in-Chief

CMS Administrator Seema Verma has announced the dawn of big changes at the Center for Medicare and Medicaid Innovation (CMMI). What will happen to all the bundled payment projects?

House passes AHCA bill by 4 votes

May 4, 2017  |  Pamela Tabar, Editor-in-Chief

The promise of $8 billion for high-risk and pre-existing conditions pushed the bill in the GOP's favor. The bill now moves on to the Senate, where the margins for passage are predicted to be tougher.

The repeal and replace bill: Medicaid's most dangerous enemy?

March 8, 2017  |  Pamela Tabar, Editor-in-Chief

The GOP's long-awaited bill to repeal and replace the Affordable Care Act is here--but its vision may be dangerously shortsighted.

CMS issues final rule for cardiac bundled payments

December 27, 2016  |  Pamela Tabar, Editor-in-Chief

CMS released its latest episodic care models Tuesday, including the 90-day bundles for heart and bypass patients.

CMS to test new ACO model for dual-eligibles

December 18, 2016  |  Pamela Tabar, Editor-in-Chief

The pilot will let accountable care organizations manage the Medicaid claims for beneficiaries who receive both Medicare and Medicaid benefits.

What impact will Trump’s victory have on value-based healthcare?

November 9, 2016  |  Rajiv Leventhal and Heather Landi

As Republicans take control of the executive and legislative branches, how will the new Administration impact healthcare's initiatives and priorities? Healthcare information technology experts weigh in on key policy issues moving forward.

CMS to Allow ACOs to Join Forthcoming CPC+ Model

June 1, 2016  |  Rajiv Leventhal

The Centers for Medicare & Medicaid Services (CMS) has opened up its new Comprehensive Primary Care Plus (CPC+) initiative to 1,500 eligible primary care practices currently in the Medicare Shared Savings Program (MSSP).

Fee for value payment models: Preparing for tomorrow’s reality

February 17, 2016  |  Louis Lenzmeier, Senior Director, Business Development, MatrixCare

By Louis Lenzmeier, Senior Director, Business Development, MatrixCare

Bundled payment models are gaining momentum in long-term care as pilot programs begin to show their value. Read about the models that include post-acute care and...

CMS, AHIP release core quality measures to align documentation

February 16, 2016  |  Pamela Tabar, Editor-in-Chief

CMS and major insurers will use the core measures to synchronize the way quality care is defined and measured, reducing the reporting burden on providers.

ACOs thwarted by lack of interoperability

January 27, 2016  |  Pamela Tabar, Editor-in-Chief

Accountable Care Organizations have spent the past four years struggling to achieve the goals that set them apart. But ACOs still don't have the one thing needed for success: data interoperability.

Joint Commission launches new certification for total hip and knee replacements

January 20, 2016  |  Pamela Tabar, Editor-in-Chief

Advanced certifications for certain joint replacement procedures could help the market bring quality to the fore from pre-op all the way to the rehabilitation center.


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