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Category Archives: Health Care Reform: Payment Reform
Centers for Medicare and Medicaid Services: Proposed Rule for MACRA Quality Payment Program Year 2
Here is the proposed rule for the second payment year (2020) of the Quality Payment Program (QPP) established by the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA) . Since there is a two-year lag between the performance … Continue reading
U.S. Department of Health and Human Services: Cabinet Exit Memo
U.S. Health and Human Services Secretary Sylvia Mathews Burwell has prepared this Cabinet Exit Memo, describing some of the accomplishments of the Obama Administration over the past 8 years, and outlining the key issues facing the Department of Health and Human Services … Continue reading
Center for Medicare and Medicaid Innovation: 2016 Report to Congress
The Center for Medicare and Medicaid Innovation (Innovation Center) at the Centers for Medicare and Medicaid Services (CMS) has released its third report to Congress. The Innovation Center was created by section 3021 of the Affordable Care Act. Under the ACA, … Continue reading
Health Care Payment Learning Action Network: Financial Benchmarking
The Health Care Payment Learning Action Network (HCPLAN) has released a white paper on performance measurement within alternative payment models (APMs). HCPLAN work products will be considered by the Centers for Medicare and Medicaid Services (CMS) for implementation of the Medicare Access and Children’s … Continue reading
Health Care Payment Learning Action Network: Patient Attribution
The Health Care Payment Learning Action Network (HCPLAN) has released a white paper on patient attribution within alternative payment models (APMs). HCPLAN work products will be considered by the Centers for Medicare and Medicaid Services (CMS) for implementation of the Medicare Access and Children’s … Continue reading
Health Care Payment Learning Action Network: Performance Measurement
The Health Care Payment Learning Action Network (HCPLAN) has released a white paper on performance measurement within alternative payment models (APMs). HCPLAN work products will be considered by the Centers for Medicare and Medicaid Services (CMS) for implementation of the Medicare Access and Children’s … Continue reading
Health Care Payment Learning Action Network: Data Sharing
The Health Care Payment Learning Action Network (HCPLAN) has released a white paper on data sharing within alternative payment models (APMs). HCPLAN work products will be considered by the Centers for Medicare and Medicaid Services (CMS) for implementation of the Medicare Access and Children’s … Continue reading
Centers for Medicare and Medicaid Services: Comprehensive Primary Care Plus Regions Announced
The Centers for Medicare and Medicaid Services (CMS) has announced the 14 regions (in 16 states) that will be participating in the Comprehensive Primary Care Plus (CPC+) program for Medicare fee-for-service (FFS) beneficiaries: Arkansas: Statewide Colorado: Statewide Hawaii: Statewide Kansas and … Continue reading
American Medical Association: Action Kit on MACRA Proposed Rule
The American Medical Association (AMA) has published an “Action Kit” summarizing the proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and highlighting its preliminary comments and recommendations for changes to the proposed rule. Among the issues that the … Continue reading
Centers for Medicare and Medicaid Services: MACRA Proposed Rule Fact Sheet about Small Practices
The Centers for Medicare and Medicaid Services (CMS) has published this fact sheet describing how small group physician practices (defined as practices with 15 or fewer physicians) and practices in rural or health professional shortage areas will be impacted and accommodated … Continue reading
