Value-based payment

Physician practices that served a disproportionate share of medically and socially high-risk patients in the first year of the Medicare Physician Value-Based Payment Modifier Program were more likely to receive a penalty compared with other practices, according to a study published today in the…
Changes to the Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298) do not go far enough to address the underlying problems with the legislation, AHA today told the bill’s sponsors, Ways and Means Committee Chairman Kevin Brady (R-TX) and Rep. Ron Kind (D-WI).
The Centers for Medicare & Medicaid Services yesterday announced refinements to the design of the second year of the Medicare Advantage Valued-Based Insurance Design Model. The model, announced last year, will test whether giving MA plans flexibility to offer supplemental benefits or…
Congress should adopt a single broad exception to federal fraud and abuse laws for financial relationships designed to foster collaboration, efficiencies and improvements in health care, the AHA last week told leaders of the Senate Finance and House Ways and Means committees.
Congress should adopt a single broad exception to federal fraud and abuse laws for financial relationships designed to foster collaboration, efficiencies and improvements in health care, AHA told leaders of the Senate Finance and House Ways and Means committees today.
Legislation to create a Medicare value-based purchasing program for post-acute care “is too narrowly focused on cutting provider payment rather than promoting ‘value’,” AHA said in a letter today to leaders of the House Ways and Means Committee. “AHA members are deeply engaged in efforts to provide…
The Centers for Medicare & Medicaid Services last week announced the Medicare Advantage Valued-Based Insurance Design Model, which will test whether encouraging plan enrollees with certain conditions to consume high-value clinical services through reduced cost sharing and other approaches…
The AHA Friday urged the Centers for Medicare & Medicaid Services to withdraw a proposed 3.41% coding cut in its proposed rule for the home health prospective payment system in calendar year 2016. The rule bases the proposed cut on an analysis of nominal case-mix change in CYs 2000 through 2009…