Tag Archives: medicare

Pioneer ACO Results Year 2: Inpatient Utilization Down; Medicare Saves More Than $384 Million

The Pioneer Accountable Care Organization (ACO) Model has generated over $384 million in savings to Medicare over its first two years — an average of approximately $300 per participating beneficiary per year — and significantly decreased inpatient care, while continuing … finish reading Pioneer ACO Results Year 2: Inpatient Utilization Down; Medicare Saves More Than $384 Million

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Senate’s Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement

The U.S. Senate voted Tuesday, April 14th, to approve a bill that repeals the Medicare Physician Payment Reform Bill, otherwise known as the Sustainable Growth Rate (SGR), a mechanism used to calculate Medicare payments to physicians. The legislation also created … finish reading Senate’s Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement

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Humana Accountable Care Snapshot: Reduced Readmissions Among Value-Based Results

Improving access to accountable care is one of four improvements Humana disclosed from ongoing programs to improve quality and reduce costs for Medicare beneficiaries, according to Humana. Humana disclosed results to date from initiatives to foster value-based reimbursement in the … finish reading Humana Accountable Care Snapshot: Reduced Readmissions Among Value-Based Results

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‘Next Generation’ ACO Encourages Telehealth, Post-Discharge Home Services: CMS

In another step towards advancing models of care that reward value over volume, HHS announced the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery. A new initiative from CMS’s Innovation Center, the model is part of … finish reading ‘Next Generation’ ACO Encourages Telehealth, Post-Discharge Home Services: CMS

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Care Coordination, Care Transitions, Disease Management, dual eligibles, Elderly Care, Healthcare Costs, Healthcare Utilization, Home Healthcare, Medicare/Medicaid EHR Incentive, Skilled Nursing Facilities, Telehealth | Tagged , , , , | Leave a comment

Advanced Primary Care Initiatives Reduce Hospital Admissions, ED Visits: CMS

Preliminary findings from two advanced primary care initiatives from CMS show decreased hospital admissions and emergency department (ED) visits, CMS officials report. The two large-scale tests of advanced primary care—the Comprehensive Primary Care (CPC) initiative and the Multi-Payer Advanced Primary … finish reading Advanced Primary Care Initiatives Reduce Hospital Admissions, ED Visits: CMS

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5 Documentation Requirements for Chronic Care Management Reimbursement

To be properly reimbursed by Medicare for select chronic care management (CCM) services not previously eligible for payment, documenting all conditions and satisfying requirements is critical, including the most challenging requirement, the ’20 minutes a month’ rule, says Rick Hindman, … finish reading 5 Documentation Requirements for Chronic Care Management Reimbursement

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CMS Hopes to Entice More ACOs with Proposed Risk, Rewards Models

Attempting to attract more accountable care organizations (ACOs) to participate in the Medicare Shared Savings Program (MSSP) without fearing penalties, CMS has released a set of proposed rules with updated penalties and incentives, plus a third new model to attract … finish reading CMS Hopes to Entice More ACOs with Proposed Risk, Rewards Models

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Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

ACOs in the Pioneer ACO model and Medicare Shared Savings Programs (MSSP) generated more than $372 million in total program savings for Medicare ACOs, according to the CMS. The news is drawn from preliminary quality and financial results from the … finish reading Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

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CMS Finalizes Medicare Bundled Payments Program for FQHCs

CMS will increase Medicare payments to federally qualified health centers (FQHCs) by as much as 32 percent, replacing the current fee-for-service model with a bundled payment model, according to CMS officials. The new payment system, as outlined in the Affordable … finish reading CMS Finalizes Medicare Bundled Payments Program for FQHCs

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CMS Releases Data on Medicare Providers’ Fees, Services to Mixed Reviews

Reaction to CMS’ public online release of data on services and procedures provided to Medicare beneficiaries by physicians and other healthcare professionals has been mixed. Specifically, the data released last week includes physicians’ names and addresses, summaries of the services … finish reading CMS Releases Data on Medicare Providers’ Fees, Services to Mixed Reviews

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