Prospective risk scores used to pay Medicare Advantage (MA) health plans in 2021 are trending lower than forecasted because routine medical services have been canceled or postponed due to COVID-19.Read More
On September 18, the Centers for Medicare & Medicaid Services (CMS) issued a final rule establishing a new alternative payment model (APM) for radiation oncology (RO) services delivered to Medicare fee-for-service (FFS) beneficiaries.Read More
Managing the care and health of populations is harder than anyone expected in the heady early days of PHM and VBC, but solutions that extend beyond analytics can achieve true care management.Read More
The bumpy transition to VBC has encompassed a growing array of different risk-based models. While many VBC programs initially focused chiefly on quality metrics and not costs, many models today entail true financial risk.Read More
If you are suffering from one serious chronic condition, then you must know the legitimate benefits of Principal Care Management Services (PCM).Read More
CMS seems to be pulling another about-face on Bundled Payments. So, if you are running a hospital, an IPA, a PO or a large practice, you should know more.Read More
