Reimbursement
Groups say CMS should get more feedback as proposals change the way ACO quality is assessed, reported and scored.
Democratic leaders question what they call CMS' unauthorized use of billions from the Medicare Trust Funds.
Change will be necessary to ensure the financial health and success of physicians and hospitals caring for orthopedic trauma patients.
The larger national insurers and Blues plans are in a better position than the smaller insurers, due in large part to their Medicare Advantage plans.
A new conservative appointee could be the deciding vote in the constitutionality of the ACA.
The American Hospital Association criticized the report as making broad claims about pricing based on a cherry-picked and limited data set.
At stake is $1.6 billion in payments per year to thousands of 340B hospitals that serve vulnerable populations, the AHA said.
The agency said the roadmap stresses the importance of multi-payer alignment in value-based care to drive care transformation.
The amount of upfront and monthly payments will vary based on the level of risk that the ACO accepts in the Medicare Shared Savings Program.
Providers' ratings are supported by ample liquidity, and the expectations are for a long-term volume recovery.