Payment Models

Bye-bye, CMMI?

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?

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CMS raises reimbursement by 1%, pushes VBP

With the Value-Based Purchasing program due to begin in 2019, CMS is pushing SNFs to get on board with performance baselines now.

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House passes AHCA bill by 4 votes

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.

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Leading the charge to Argentum 2018

Senior care leaders convened at the annual Argentum Senior Living Executive Conference in Nashville to reflect on the past year and look forward to the year ahead.

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BPCI Model 3: Bonanza or boondoggle?

There’s an argument to be made for being an early adopter with Bundled Payments for Care Improvement (BPCI) Model 3, but there are also questions about how much participants will ultimately save.

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Medicare proposes changes to primary care payment

The Centers for Medicare and Medicaid Services has proposed changes to the Physician Fee Schedule to change how Medicare pays for primary care with an emphasis on care management and behavioral health.

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MedPAC launches plan for new payment system

The Medicare Payment Advisory Commission (MedPAC) submits it recommendations to Congress for how to establish a unified, cross-setting post-acute care payment system. The plan would redistribute payments among types of stays, making profits more uniform and hopefully reducing unnecessary services and admission preferences. 

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Unified PAC payment feasible, MedPAC says

The Medicare Payment Advisory Commission (MedPAC) has issued its annual report on refinements to Medicare payment systems and on issues affecting the medicare program

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Innovation program to reduce nursing home hospitalizations

The Center for Innovation has invested more than $30 million for Indiana University’s project to reduce avoidable hospitalizations for nursing home residents by providing higher levels of care on site.

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Proposed legislation aimed at comorbidity among Medicare beneficiaries

A U.S. Senate Working Group has outlined priorities for improving Medicare delivery to beneficiaries with multiple, complex chronic illnesses while reducing healthcare expenditures. 

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