Payer+Provider's Health System Review
March 25, 2019
CMMI gave more than $622 million to 11 states as part of the Round 2 Model Test; New York implementing the most drastic changes.
The bill is being released near the ninth anniversary of the Affordable Care being signed into law.
The novel approach could cut down on adverse cardiovascular events for Medicare and Medicaid beneficiaries, decreasing utilization.
The goals of consumerism and patient-centered care can be at odds, and the former may not be as effective in reducing costs as people thought.
March 22, 2019
Blue Cross was the most named, largest insurer in 10 states in which three insurers had over 75 percent of the large group health insurance market.
A greater proportion of women were able to find affordable access to acute and preventive services, as well as insurance coverage.
The star algorithm fails to fully capture the typical observation that higher surgical volume is associated with better quality outcomes.
March 21, 2019
CMS announces 715 acute care hospitals and 580 physician group practices remain in the bundled payments for care improvement advanced program, for a total of 1,295 Medicare providers.
Thoracic surgeons are often reluctant to discharge patients on an accelerated time frame for fear of harm or readmission risk.