Medicare

The Centers for Medicare & Medicaid Services today released a proposed rule that would make technical changes to the way financial targets are calculated for accountable care organizations in the Medicare Shared Savings Program. CMS proposes to account for differences in regional health…
The proposed merger between health insurers Aetna and Humana would greatly reduce market competition for Medicare Advantage beneficiaries in the markets they serve, according to a new analysis by the Center for American Progress. “The Medicare Advantage market is currently highly concentrated,” the…
Recently, the Centers for Medicare and Medicaid Services (CMS) has taken significant steps to expand the use of bundled payment programs.
The AHA last week criticized as “misdirected” and a blow to patient care the Medicare Payment Assessment Commission’s (MedPAC) recommendation that Congress reduce Part B drug payment rates to hospitals participating in the 340B Drug Pricing Program. At its Jan. 14 meeting, the commission voted 14…
Our fragmented health care system is rapidly transforming into a more integrated delivery system where providers need to work together more closely to provide the best and most appropriate care. An important part of the equation is post-acute care providers. Emerging innovations in post-…
The AHA today urged the Medicare Payment Advisory Commission to withdraw its draft recommendation to reduce Part B drug payment rates to hospitals participating in the 340B Drug Pricing Program. “This recommendation is outside of the scope of MedPAC’s mission, lacks a clear purpose and penalizes…
The Centers for Medicare & Medicaid Services today announced 121 new Medicare Accountable Care Organization participants, including 21 that will begin participating this year in a new Next Generation ACO model.