The notion that hospital readmission rates are a “quality” measure reached the status of conventional wisdom by the late 2000s. In their 2007 and 2008 reports to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress authorize a program that would punish hospitals for “excess readmissions” of Medicare fee-for-service (FFS) enrollees. In 2010, Congress…
Even if the Affordable Care Act is ultimately deemed unconstitutional, stakeholders wouldn’t allow the momentum surrounding value-based care models and biosimilars to stall, experts and provider groups said. A Texas federal judge ruled last week that the Affordable Care Act couldn’t stand without the individual mandate, rendering the entire law unconstitutional. The decision is likely to weave…
The past year saw multiple developments that could affect payment reform—a new administration was getting up to speed, the Affordable Care Act (ACA) was debated and its implementation modified through legislative and regulatory changes, and questions were raised about the future of alternative payment models. Despite this, implementation of the Medicare Access and CHIP Reauthorization…