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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.

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Understanding Basics of Alternative Payment Models (APMs)

Medisys Compliance

Although many state initiatives are underway, relatively few have been evaluated for their impact on total cost of care of health outcomes. The potential impact of Medicaid alternative payment models on care delivery can depend considerably on how much of a provider’s revenue comes from Medicaid.

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Value Comes to Healthcare: But Whose Value Is It?

Health Populi

Another global view on value is offered in the report, Delivering quality health services: A global imperative for universal health coverage , from the World Health Organization, the World Bank Group, and the OECD.

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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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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.

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The healthcare executive’s guide to AI

Redox

These enhancements have the potential to not only reduce provider costs, but also prevent errors, advance treatments, and improve health outcomes. AI’s superpower lies in its ability to intelligently mine insights from the exponential amount of health data that is generated every second.

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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.