The Centers for Medicare & Medicaid Services (CMS) has approved New York state’s amendment of its ongoing Medicaid transformation efforts to allow the state to advance health equity, support the delivery of health-related social needs (HRSN) services, and promote workforce development. The state said the waiver would enable New York to invest nearly $6 billion…
New bipartisan legislation introduced in the House aims to reform Medicaid to enable the use of value-based purchasing agreements in Medicaid. The Medicaid VBP Act, released Tuesday, aims to ensure new treatments such as gene therapies would be administered under Medicaid via a value-based agreement that reimburses drug makers based on the outcomes the drug provides….
The COVID-19 pandemic has brought social and racial inequity to the forefront of public health. In the United States, the pandemic has affected many communities, including racial and ethnic minorities as well as low-income populations, more severely than other groups. Negative health outcomes are more common among individuals within these groups, and social determinants of…
The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those focused on accountable care organizations (ACOs) to…
Recently, the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models. Since its inception in 2010 as a part of the Affordable Care Act, CMS has launched over 50 innovation/pilot…
The Guidehouse Center for Health Insights has just released analysis of an executive survey in conjunction with HFMA, the 2021 Risk-Based Healthcare Market Trends, that found health systems appear to be going big into risk sharing in 2022, with these percentages of respondents planning to advance into upside/downside risk sharing, professional capitation or global capitation for:…
The Center for Medicare & Medicaid Innovation (CMMI) in October announced a “strategy refresh” that would guide development of its future payment models. If executed effectively, the strategy could make a substantial difference in hospice and palliative care as well as the health care system at large, a trio of experts told Hospice News. The…
The federal agency responsible for developing new health care payment models wants every fee-for-service Medicare beneficiary to be getting care from a provider who’s part of an accountable care organization by 2030. That goal is laid out in a recent white paper from the Center for Medicare and Medicaid Innovation (CMMI), “Driving Health System Transformation—A Strategy for the CMS Innovation Center’s Second Decade.”…
People often confuse health equity with health equality, but it’s vital that healthcare professionals understand the difference. Health equality essentially means giving every person the same thing, while health equity means giving people what they need to reach the best possible outcome. This, of course, is an important distinction, as social determinants of health (SDoH) often dictate the needs…
Medicaid will be an increasing focus of alternative payment models (APMs) from the Center for Medicare & Medicaid Innovation (CMMI), Ellen Lukens, MPH, said Wednesday at the annual Population Health Colloquium hosted by Thomas Jefferson University. “Models have been predominantly Medicare-oriented, and have disproportionately served white beneficiaries,” said Lukens, who is policy and programs group…