Study: Safety-net hospitals catch up to other hospitals in HRRP, but not in VBP

AHA News Now

Safety-net hospitals had larger average penalties than non-safety net hospitals under the Hospital Readmissions Reduction Program in fiscal year 2013, but that difference had disappeared by 2016, according to a study published today in the Journal of the American Medical Association. In the Value-Based... read more

Topic: Quality and Patient Safety
Tags: readmissions, value-based purchasing, Medicare

NAM initiative issues final report on policy priorities for better health at lower cost

AHA News Now

The National Academy of Medicine’s Vital Directions for Health and Health Care Initiative today proposed four policy priorities for the administration and health care leaders to achieve better health at lower cost: pay for value, empower people, activate communities and connect care. To support these... read more

Topic: Advocacy and Public Policy
Tags: value-based purchasing, population health

HHS: Fraud and abuse laws are impediment to improved care and efficiencies

AHA News Now

The Secretary of Health and Human Services, in an unpublicized report, has responded to Congress’ request for options to amend the existing fraud and abuse laws. The report offers no legislative or regulatory proposals. Instead it provides observations on the effect of fraud and abuse laws, concluding... read more

Topic: Advocacy and Public Policy
Tags: value-based purchasing, self-referral, clinical integration

Hospital associations outline for president their top priorities for future of the ACA

AHA News Now

In a joint letter today to President Trump and the Congress, the AHA and 71 state, regional and metropolitan hospital associations outlined their top priorities as the administration and Congress deliberate the future of the Affordable Care Act. “If the ACA is to be repealed, the potential repeal and... read more

Topic: Advocacy and Public Policy
Tags: value-based purchasing, Coverage, Medicaid, regulation, care coordination

CMS announces new alternative payment model participants

AHA News Now

More than 359,000 clinicians have agreed to participate in four alternative payment models in 2017, the Centers for Medicare & Medicaid Services announced yesterday. Accountable care organizations in the Medicare Shared Savings Program grew by a net 47 to 480, including 26 Track 3 ACOs waived from the... read more

Topic: Quality and Patient Safety
Tags: accountable care organizations, physicians, value-based purchasing, Medicare, ACO

Study: Hospital VBP program not driving meaningful improvement in patient experience

AHA News Now

Medicare’s Hospital Value-Based Purchasing program has not accelerated the improvement of patient experience beyond previous trends, according to a study reported this week in Health Affairs. “Instead, we found that the rate of improvements in patient experience has slowed since the program was... read more

Topic: Quality and Patient Safety
Tags: quality, value-based purchasing

CMS posts final Hospital VBP Program adjustment factors for FY 2017

AHA News Now

The Centers for Medicare & Medicaid Services today posted the final incentive payment adjustment factors for the fiscal year 2017 Hospital Value-Based Purchasing Program, which are being used to adjust base operating Medicare Severity Diagnosis-Related Group payments to eligible hospitals for discharges... read more

Topic: Advocacy and Public Policy
Tags: value-based purchasing, Medicare

Network reports on health plan adoption of alternative payment models

AHA News Now

Nearly 25% of health plan payments are in alternative payment models aimed at promoting quality and value, according to a study of more than 70 health plans in the commercial, Medicare Advantage and Medicaid markets, released today by the Health Care Payment Learning & Action Network. The Department of... read more

Topic: Advocacy and Public Policy
Tags: value-based purchasing, Medicare, Coverage, Medicaid

CMS pilot to ease medical record reviews for certain advanced payment models

AHA News Now

The Centers for Medicare & Medicaid Services today announced a pilot program to reduce medical record reviews for physicians and hospitals participating in certain advanced alternative payment models. The 18-month program will apply to payment models that CMS has identified as advanced APMs under the... read more

Topic: Advocacy and Public Policy
Tags: physicians, value-based purchasing, Medicare

AHA to committee: 'Now is not the time for a flawed PAC VBP program'

AHA News Now

Changes to the Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298) do not go far enough to address the underlying problems with the legislation, AHA today told the bill’s sponsors, Ways and Means Committee Chairman Kevin Brady (R-TX) and Rep. Ron Kind (D-WI). “Without a more balanced,... read more

Topic: Advocacy and Public Policy
Tags: value-based purchasing, Medicare, VBP

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