On July 16, 2025, the Centers for Medicare and Medicaid Services (CMS) released a Notice of Proposed Rule Making (NPRM) for CY 2026. The proposed rule indicates that CMS wants to accelerate risk within its programs with the expectation that doing so will drive better results. However, many entities are not ready, and the current quality…
According to new CMS data, accountable care organizations (ACOs) saved Medicare $2.4 billion in 2024, setting a new record for savings in the Medicare Shared Savings Program (MSSP). At the same time, more healthcare organizations may be turning to value-based care to help them mitigate the impact of new policy changes, financial pressures, and more. Medicare ACOs set new…
Download Slides Success in value-based care (VBC) depends on providers working together to deliver high-quality, cost-effective care. However, without access to the right data, they’re forced to navigate VBC challenges without a clear path forward. Join Milliman MedInsight and Genesys PHO for an interactive webinar where we’ll uncover how advanced performance analytics can reveal…
Ari Shabat: Well, we just heard a little bit of that from Joel Theisen, founder and CEO from Lifespark, in the previous session. His concept of “choppy interactions” and the effort to build a sensible workflow really ties into admissions — because that’s where value-based care either begins or breaks. Many facilities still treat admissions as…
A decade ago, the federal government launched its large-scale Medicare Access and CHIP Reauthorization Act (MACRA) in an attempt to move more physicians into value-based care to rein in exploding costs and improve care. Later this summer, Medical Economics will release the second edition of Medical Economics Insider featuring an in-depth look at how successful MACRA has been…
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…
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…
A decade ago, the federal government launched its large-scale Medicare Access and CHIP Reauthorization Act (MACRA) in an attempt to move more physicians into value-based care to rein in exploding costs and improve care. In July, Medical Economics will release the second edition of Medical Economics Insider featuring an in-depth look at how successful MACRA has been and what…
For organizations hoping to draw out savings from value-based care, added administrative burdens might be a source of hesitation. However, some operators are successfully turning to technology offerings that maximize reimbursement, pinpoint essential data, and include platforms already used by referral partners and managed care organizations (MAOs). AI programs can help “tease out” some of…
The future of value-based care programs will likely focus on greater integration of care, as nursing homes and other providers in the health care continuum discover the benefits of more thoughtful discharges – less focused on swiftness and more on moving patients through a continuum of care – in order to close costly gaps in…