Medicare & Medicaid
The appeal of Bundled Payments for Care Improvement Advanced is in it qualifying as an advanced APM but concerns remain over target pricing.
CMS Administrator Seema Verma says she will confer with the Department of Justice to 'chart a path forward.'
But agency denies Massachusetts' request to choose drugs for its Medicaid formulary.
The findings suggest that work is needed to address racial and ethnic disparities that developed as medication-assisted treatment has expanded.
The collaboration expands the ability of National Alliance coalitions and their employer/purchaser members to drive change in their respective markets.
There was no link found between the penetration of value-based payment models and growth in the total cost of care for Medicare or commercial payers.
Precedent-setting case will affect providers nationwide when they feel insurers have breached their contracts, according to attorney.
Kidney transplantation is more cost-effective and associated with better health outcomes than dialysis, the authors said.
Researchers looked at 3 states with different policies and found a risk of low-income patients staying or becoming uninsured because of work requirements, health savings and premiums.
Offering payment to Medicare providers allowed communities to scale up high-quality clinical training for advanced practice nurses in the settings where they're most needed.