value-based APMs | VBCExhibitHall Library

Health Systems Set Sights on Risk-Based Payment in Medicare Advantage

November 17, 2021Garrett SchmittNo Commentsalternative payment models, APMs, health systems, Healthcare Financial Management Association, HFMA, Medicare, Medicare Advantage, risk-based payment, value-based APMs, value-based reimbursement

Health systems are planning to advance their risk-based payment strategies by taking on more upside or downside risk, professional capitation, or global capitation in Medicare Advantage lines of business in 2022, according to a recent survey. The executive survey conducted by the Healthcare Financial Management Association (HFMA) for the Guidehouse Center for Health Insights found that…

The 2022 CMS PFS And QPP Final Rule: A Warning Shot To Provider Holdouts Of Value-Based APMs

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, alternative payment models, APMs, CMS, Medicare, Medicare Physician Fee Schedule, PFS, Physician Fee Schedule, value-based APMs, value-based care

CMS has released the 2022 Physician Fee Schedule and Quality Payment Program (QPP) Final Rule, and the message of these 2,414 pages is clear: CMS wants to push providers into value-based care arrangements. That intent was foreshadowed by the Proposed Rule released over the summer, which confirmed our predictions of trends under the Biden administration. Specifically, we saw a push…