New Payment Model for Cardiology Focused on Value-Based Care
Explore the new Ambulatory Specialty Model by CMS, focusing on value-based reimbursement for cardiologists in heart failure care. Learn its implications and requirements.
Aetna's Policy Under Scrutiny: Implications for Medicare Compliance and Hospital Payments
Explore Aetna's new inpatient payment policy and its potential impact on Medicare compliance, hospital payments, and healthcare regulations.
CMS Announces ACCESS Model to Test Outcome-Payment Approach for Tech-Driven Chronic Care
CMS launches the ACCESS Model to link Medicare payments to clinical outcomes, expanding technology-supported care for chronic disease management starting July 2026.
MedPAC Highlights Need for Post-Acute Care Reform and Payment Alignment
MedPAC underscores the need for aligning post-acute care payments, reforming Medicare Advantage prior authorizations, and advancing value-based programs in upcoming Medicare policies.
CMS Launches ACCESS Model Testing Outcome-Based Payments for Chronic Care
CMS launches the ACCESS Model, a 10-year test of outcome-aligned payments for Medicare FFS chronic care using technology-supported services, enhancing care coordination and quality outcomes.
CMS Launches ACCESS Model to Advance Outcome-Based Payments in Medicare FFS
CMS initiates the ACCESS Model, a 10-year voluntary program testing outcome-based payments for Medicare fee-for-service providers, enhancing integrated, tech-supported chronic care.
Home Health Providers Navigate Challenges in Shifting to Value-Based Reimbursement
Home health providers face challenges shifting from fee-for-service to value-based care due to payer demands and regulatory pressures. Innovative payment models and care delivery adaptations are key to success.
CMS Launches ACCESS Model to Advance Technology-Enabled Chronic Care in Medicare
CMS introduces ACCESS model to enhance technology-supported care and outcome-based payments for Medicare patients with chronic conditions starting in 2026.
Higher Quality and Lower Utilization in At-Risk Medicare Advantage for Dual-Eligible Beneficiaries
Analysis reveals at-risk Medicare Advantage models deliver better quality and lower utilization for dual-eligible beneficiaries versus traditional and fee-for-service Medicare, supporting CMS care accountability goals.
Medicare’s Post-Surgical Payment Reform Hinges on Telehealth Physical Therapy Coverage
Medicare is reforming post-surgical payments to hold hospitals accountable for 30-day post-discharge costs. The sustainability of this model depends on permanent Medicare coverage for telehealth physical therapy, a cost-effective and patient-preferred rehabilitation method. Congressional action is critical to extend tele-PT benefits.