Reimbursement
One of the largest private insurance plans to use population-based global budgets achieved success in slowing spending growth.
Patient response rates have been declining over the years; the response rate was 33% in 2008 but just 26% in 2017.
Children without insurance were 3.3 times more likely to be transferred than those covered under private insurance.
Smaller hospitals may lack the requisite expertise, personnel and financial resources necessary to make the leap.
Personalized communications and robust analytics capabilities can help MA plans avoid some of the pitfalls of coverage gaps.
About 40 new ACOs entered the program, which is less than the 100-plus new ACOs the program averaged in its first 7 years.
Many BPCI-participating hospitals instead elect to send patients to home health organizations, which are less costly.
Participation almost doubled year-to-year, while the number of clinicians taking part in MIPS declined.
The device is a significant departure from traditional surgical treatments for sleep apnea.
While CMS says it is now allowing therapist assistants to perform services, Premier says the agency's definition requires a skilled professional.