Medicare

Model comment letter to CMS on Proposed Comprehensive Care for Joint Replacement Model
Medicare Accountable Care Organizations qualified for more than $422 million in shared savings in 2014 by meeting quality standards and their savings threshold, the Centers for Medicare & Medicaid Services announced yesterday. Eleven Pioneer ACOs earned $82 million in shared savings and…
There is little or no competition in Medicare Advantage markets in 97% of U.S. counties, according to a study released today by the Commonwealth Fund. Among 2,933 counties with at least 10 MA plan enrollees in 2012, only one county qualified as a competitive market and 80 as moderately…
CMS on July 1 published the end-stage renal disease (ESRD) prospective payment system (PPS) proposed rule for calendar year (CY) 2016. This advisory provides a detailed summary of the proposed rule prepared for the AHA by Health Policy Alternatives, Inc.