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 Journal of the American Medical Association. The study looked at program payments made in 2015 to 899 large practices caring for more than 5.1 million Medicare fee-for-service beneficiaries in 2013. It found that practices serving more socially high-risk patients had lower quality and lower costs, while practices serving more medically high-risk patients had lower quality and higher costs.
A new AHA report highlights some of the significant changes and future challenges that impact hospitals and health systems.
Special Bulletin on CMS’s Nov. 26 proposed rule aimed at lowering drug prices for beneficiaries enrolled in Medicare Advantage and Part D programs.
The final rule updates physician fee schedule payments for CY 2019 and finalizes several policies to implement year three of the Quality Payment Program…
Download the Advisory as a PDF below. The Centers for Medi
AHA Center for Health Innovation Market Scan
Seemingly everyone agrees that consumers should have a stronger voice in value-driven health care and how benefit plans are designed. What hasn't been clear,…
Thursday, November 20