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Long Awaited Approval of the 1115 Waiver Amendment for NYS Medicaid – Just in Time for the New York State Executive Budget State Fiscal Year (SFY) 2025

Health Care Law Brief

On Tuesday, January 16, 2024, Governor Kathy Hochul released the SFY 2025 New York State Executive Budget (“Executive Budget”). While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5

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CMS Announces Proposed Rule: Transforming Episode Accountability Model “TEAM”

Hall Render

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.

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ClosedLoop.ai Raises $34M to Expand Healthcare Data Science Platform

HIT Consultant

In 2018, 36% of spending was via alternative payment models and by 2025, CMS has targeted 100% of Medicare and 50% of Commercial and Medicaid spending.4 CMS AI Health Outcomes Challenge. ? Empowering The Data Science Team. The push toward value-based care is significant. Won the historic healthcare AI contest: $1.6M

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CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors

Healthcare Law Blog

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”).

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The Goal of RPM is Management, Not Monitoring

Healthcare IT Today

More practices are adopting RPM programs because of the increasing patient acceptance of virtual care models, widespread reimbursement from CMS as well as private payers and Medicaid plans , and decreased cost of connected devices. And, by 2025, more than 70 million U.S. patients – 26.2%

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How Actionable Data and Expert Analysis Supports Service Providers, Fosters Better Care and Ensures Financial Benefits

HIT Consultant

Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. – Innovation-driven initiatives from the Centers for Medicare & Medicaid Services (CMS). . – Innovation-driven initiatives from the Centers for Medicare & Medicaid Services (CMS).

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How Covid-19 Can Inspire Tech-Enabled Value-Based Health Care in a Cash-Constrained America

Health Populi

The Consumer Technology Association (CTA) collaborated with The Economist Intelligence Unit (EIU) on the research report, Reinvigorating Value-Based Health Care: Exploring the Role of Technology Innovation. National Health Expenditures are expected to consume 19.7% of the U.S. That would be $1 in every $5 of the American economy.

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