A couple of weeks ago, the Centers for Medicare & Medicaid Services (CMS) released an important report that provides insight into a significant contributor of clinicians’ overall Medicare ...

The Medicare Shared Savings Program saved over $2.1 billion in 2023, enhancing care quality through ACOs. ACOs showed significant improvements in quality measures, including diabetes control, cancer ...

This article is the latest in the Health Affairs Forefront featured topic, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

The 2025 Physician Fee Schedule includes a conversion factor reduction, expanded behavioral health services, extended telehealth waivers, new Quality Payment Program pathways, and measures to address ...

MACRA is the largest change in a generation for Medicare Part B reimbursement. As we come to the close of the first performance year, it’s a good time to reflect on the changes in 2017 and look ahead ...

Ohio skilled nursing providers are fighting a two-fronted funding battle, hoping to capitalize on quality investments they’ve already made and to ensure the state continues to fully support a landmark ...

The U.S. Department of Health and Human Services has issued a final rule on a new program called the Quality Payment Program, a part of the Medicare Access and CHIP Reauthorization Act. The two ...

A new study published in JAMA Health Forum found that bundled payment programs for outpatient spine surgery significantly reduced healthcare costs and lowered readmission rates among Medicare ...

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and ...

Accountable care organizations (ACOs) face unique burdens to comply with CMS’s new quality reporting requirements as summarized in this 2021 MedCity News article. Challenges are particularly acute for ...

For years, Medicaid carried a stigma: People regarded it as substandard healthcare for poor people that you would do well to avoid, while doctors saw a program that brings them too little ...