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New entrants are seeking ways to provide a better care experience through consumer-driven, innovative approaches. The AHA Center for Health Innovation's Disruptor Framework identifies three market forces driving the disruption of legacy hospital and health system business models and classifies…
In this Voices on Value piece, Priya Bathija, a vice president at the AHA, talks with Sachin Jain, M.D., president & CEO of CareMore Health, to get his insights on health care affordability, value and the strategies CareMore Health is using to disrupt health care delivery.
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 created by the Medicare Access and CHIP Reauthorization Act of 2015. See the AHA Regulatory Advisory for a detailed summary, key takeaways and AHA…
Download the full Regulatory Advisory (PDF) below
The payment update for CY 2019 is relatively straight forward; however, the substantial re-design for CY 2020 brings a complex transformation to the field. Overall, we support the design of the new model, which shifts resources to the medically-…
Download the Advisory as a PDF below.
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2019. The rule also finalizes several policies to implement year three of the Quality Payment Program (…
On Nov. 2, the Centers for Medicare & Medicaid Services issued its calendar year 2019 outpatient prospective payment system /ambulatory surgical center final rule. In addition to standard updates, the rule expands Medicare “site-neutral” payment policies and changes the payment policies for…
Robert Kaplan and Harry Wolberg from the Harvard Business School discuss six fundamental practices for value-based health care, which they say aims to improve the outcomes experienced by patients at lower total costs to society.