The U.S. health care system has hit a defining moment in its shift toward value-based care, with the major decision in 2021 being an aggressive acceleration or cautious slowdown of the nation’s portfolio of alternative payment models. Liz Fowler, the new head of the Center for Medicare and Medicaid Innovation (CMMI), has been thinking about […]
CMMI
In somewhat of a surprise move, U.S. health care policymakers unveiled plans last week to expand the Home Health Value-Based Purchasing (HHVBP) Model, a nine-state Medicare demonstration designed to better align reimbursement to quality of care. Despite backing from most of the home health industry, the HHVBP Model — first implemented in 2016 — had […]
In April 2019, federal health care officials unveiled a new direct-contracting payment model to accelerate the shift toward value-based care for U.S. primary care providers. The goal of that model — which has 51 entities already signed up — was to bring a private-sector approach to risk-sharing arrangements in traditional Medicare. The U.S. Centers for […]
The Center for Medicare & Medicaid Innovation (CMMI) is in need of a “course correction,” top U.S. health care officials believe. And part of that may include a national expansion of the Home Health Value-Based Purchasing Model. Created under the Affordable Care Act, CMMI — also known as the CMS Innovation Center — supports the […]
Bipartisan lawmakers introduced a bill on Monday that would increase oversight and require more transparency from the Center for Medicare & Medicaid Innovation (CMMI), the U.S. Department of Health & Human Services (HHS) branch that tests new payment models and delivery options. The bill, dubbed the “Strengthening Innovation in Medicare and Medicaid Act,” could handcuff […]
Thanks to leadership changes at the federal level, the evolution of Medicare Advantage (MA) and a seemingly constant flow of new value-based payment models, providers should begin to plan for the end of fee-for-service Medicare. That’s according to LHC Group Inc. (Nasdaq: LHCG) Chief Strategy and Innovation Officer Bruce Greenstein, who discussed the future of […]
U.S. health care spending soared past $3.6 trillion in 2018, nearly one-fifth of the country’s gross domestic product (GDP). To curb that spending, stakeholders throughout the continuum of care are beginning to think more about “total cost of care” and less about isolated episodes. Some of the largest in-home care providers are among those stakeholders, […]
A key ally for home health providers and a major proponent of value-based care may be leaving his federal post. The Trump administration revealed late Wednesday it has nominated Adam Boehler — director of the Center for Medicare & Medicaid Innovation (CMMI) and a senior adviser to the secretary of the U.S. Department of Health […]
Health care policymakers on Monday unveiled a new voluntary risk-based initiative designed to reward physicians who keep patients at home and away from hospitals. Based upon the work of previous administrations, the new initiative marks a major inflection point for the value-based transformation of the U.S. health care system, according to Department of Health and […]
Landmark Health—the private equity-backed in-home medical company recently rumored to be up for sale—has entered into a new care-delivery collaboration with Blue Shield of California and one of its subsidiaries. As part of the collaboration, Landmark will work with Blue Shield of California and subsidiary Care1st Health Plan to offer “the 21st century version of house […]