Tag: Payment Models

Medicare Physician Fee Schedule: Key Discussions and Proposals

Explore the discussions surrounding changes to the Medicare Physician Fee Schedule, including inflation adjustments and advanced payment models.

Transforming Chronic Care Management in Medicare: The ACCESS Model

Explore how the ACCESS model enhances chronic care management in Medicare, linking payments to health outcomes for better patient care.

CMS Proposes New Medicare Rule Impacting Skilled Nursing Facilities

CMS's April 2026 Medicare rule proposes vital changes in payment rates and data reporting, impacting skilled nursing facilities. Learn more about these updates.

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.