What if a potent driver of value-based success isn’t found in your clinical programs but in the first few minutes your residents spend with your team? Long-term care is racing toward value-based care (VBC). You obsess over quality measures, satisfaction surveys and readmission rates. You invest in clinical pathways, technology and staff training. But when…
Last month, the Centers for Medicare & Medicaid Services (CMS) released its 2026 Medicare Advantage (MA) Rate Announcement, projecting a 5.06% average increase in payments to MA plans. That’s a notable jump from the 3.70% increase we saw in 2025. More than just a financial adjustment, this signals growing confidence in the Medicare Advantage model—and with…
The Trump administration proposed a sweeping physician payment rule on Monday that rewrites Medicare payment to comply with recently passed GOP tax and policy law — and decade-old healthcare legislation. The CMS’ proposed physician fee schedule for 2026 includes a base rate hike of 2.5%. The increase was a handout to providers in the controversial “One…
Integrating care for people dually eligible for and enrolled in Medicare and Medicaid remains a bipartisan policy priority. Because Medicare and Medicaid are administered and funded separately, most dual-eligible beneficiaries receive coverage through two distinct programs with separate budgets, which lack financial incentives to coordinate care. To address these misaligned payment incentives, much of policy makers’ efforts…
The transition to value-based care may seem daunting for many healthcare leaders, especially those who operate independently and have less margin for error when it comes to implementing new systems and initiatives. Flagler Health is a technology company offering AI tools and other advanced technologies to streamline many aspects of patient care for medical practices….
Download Slides Caring for individuals with intellectual and developmental disabilities (IDD) requires a unique approach. Join Dr. Craig Escudé—national expert in IDD health—and TCARE’s Jodi Fenner as they explore key concepts in effective care management. From understanding baseline health risks to recognizing the role of social and environmental factors, this session will offer foundational…
Takeaway Points We assessed trends in market share over time among short-term acute care hospitals participating in accountable care organizations (ACOs) and non-ACO participants. ACO participation was associated with an increase in mean market share. ACO participation was associated with additional market share gains in more (vs less) concentrated markets. More importantly, baseline (2011) market…
The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) has released and are highlighting evaluation reports and publications. You can access reports by going to the evaluations and research reports page of the Innovation Center website. Bundled Payments for Care Improvement Advanced Model Evaluation of Model Year 5 (2022) – Key Takeaways:…
On July 4, President Donald J. Trump signed into law the legislation and spending plan known as the One Big Beautiful Bill Act (OBBBA). The bill has a number of effects across different sectors of the economy, including health care. This slideshow compiles some facts, figures and responses from a variety of sources that analyzed…
The traditional fee-for-service (FFS) healthcare model isn’t well-suited to meet the complex needs of patients with chronic illnesses including chronic kidney disease (CKD). As costs spiral and population health declines, value-based care (VBC) presents a solution that can reshape how the healthcare system approaches CKD management and can serve as a model for how we…