Accountable Care
The agreement is expected to provide more stable and predictable revenue, a need underscored by the pandemic.
They are also launching a co-branded commercial insurance plan called the Aetna Whole Health-Cleveland Clinic plan.
UHG compared differences in preventive care and chronic condition metrics between capitated and fee-for-service payment.
Among other provisions, the bill extends the 5% advanced APM bonus for an additional six years and modifies thresholds to achieve the bonus.
Qualifying members will be able to identify if they have colon cancer at home and get tailored diabetes-management assistance.
A real-time claims initiative is available statewide to help generate better cash flow for providers facing economic hardship during COVID-19.
Providers can reduce liability, avoid readmissions, prevent costs, and have greater patient satisfaction through a transition of care protocol.
CMS Administrator Seema Verma promotes value-based payment models to address race, ethnic disparities and the social determinants.
CMS also announced changes to other alternative payment models to adjust for the COVID-19 pandemic.
An interview with MoneyBall Medicine author and investor Harry Glorikian.