Susan Morse

A joint contract between CMS, states and health plans would pay a capitated amount to provide integrated Medicare and Medicaid services.

The change would ramp up add-on payments to hospitals that implement new tech and increase the wage index for rural and other qualifying hospitals.

Pre-existing coverage remains protected, though a new type of high risk pool approach could better tailor coverage for these enrollees, Verma says.

Part D drug spending projections are lower than last year because of slower price growth and a continuing trend of higher manufacturer rebates.

The Primary Care First payment model will provide payment to practices through a simplified total monthly payment to allow clinicians to focus on caring for patients rather than their revenue cycle, CMS says.

SNFs will be scored on a measure of potentially preventable hospital readmissions and on two new quality measures for interoperability.

The InstaMed blockchain prototype creates a shared patient account ledger accessible by the provider, payer and consumer.

Health IT giant and convener expand partnership to help health systems with 2020 model for bundled payment reimbursement.

Rule proposes no changes to practice of silver loading as insurers start to set rates for 2020.

The analysis finds that value-based payment is firmly rooted in state healthcare policy.