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CMS Forwards Its Health Equity Agenda through Its Annual Prospective Payment System Rulemaking Process

Health Law Advisor

The Centers for Medicare & Medicaid Services (“CMS”) is using its annual rulemaking process to update the CMS payment system rules for fiscal year (“FY”) 2024 as a mechanism to advance health equity systematically across various CMS payment programs. health system.” [9] health system.” [9]

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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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Understanding Basics of Alternative Payment Models (APMs)

Medisys Compliance

An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. Although many state initiatives are underway, relatively few have been evaluated for their impact on total cost of care of health outcomes.

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New CMS Payment Model Aims to Improve Cancer Care

Hall Render

EOM aims to improve care coordination, quality and health outcomes while holding oncology physician practices accountable for total costs of care to make cancer care more affordable and accessible. The MEOS payment will be higher for beneficiaries dually eligible for Medicare and Medicaid. PGP’s across the U.S.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S. healthcare system were exorbitant.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S. healthcare system were exorbitant.

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When Will Self-Service Come to Health Care?

Health Populi

Three factors could, together, foster self-care that’s safe, effective, and cost-impactful: Foster payment systems that support self-care through new channels like telehealth, preventive screenings at home, and lower-cost sites for care.