Tag: Value-Based Care

Enhancing Payer-Provider Collaboration to Advance Value-Based Care Implementation

Explore strategies for payers to enhance collaboration with providers in value-based care through real-time data, EHR integration, and aligned incentives to improve patient outcomes and reduce healthcare costs.

Navigating Medicare and Health Insurance Choices Amid Rising Costs and Complex Options

Explore the complexities of choosing Medicare Advantage and other health plans in the U.S., including cost implications, emerging care models, and resources for diverse patient needs.

CMS and FDA Launch ACCESS and TEMPO Pilots to Enhance Tech-Enabled Chronic Care for Medicare

CMS and FDA have initiated the ACCESS Model and TEMPO pilot to expand technology-driven care for Medicare chronic condition patients, focusing on outcomes-based payments and regulatory flexibility.

CMS Launches MAHA ELEVATE Model to Fund Chronic Disease Prevention Initiatives

CMS introduces the MAHA ELEVATE model, a voluntary payment program funding lifestyle medicine interventions not covered by Original Medicare to improve chronic disease prevention.

CMS Launches ACCESS Model to Advance Technology-Enabled Chronic Care

CMS launches the ACCESS Model, a 10-year initiative to enhance chronic disease management for Medicare beneficiaries through technology and outcome-based payments.

Navigating Regulatory Complexities of Data Exchange in Value-Based Care

Explore the regulatory frameworks influencing data exchange in value-based care, including CMS rules, HIPAA, and state requirements. Understand operational challenges in healthcare data governance.

CMS Launches MAHA ELEVATE Model to Fund Lifestyle Medicine in Medicare

CMS introduces the MAHA ELEVATE Model to finance lifestyle and functional medicine interventions in Original Medicare, targeting chronic disease prevention and cost reduction.

CMS Finalizes Mandatory Ambulatory Specialty Model for Specialists in Medicare

CMS finalizes the mandatory Ambulatory Specialty Model in Medicare, expanding value-based care to specialists treating chronic conditions with two-sided financial risk and collaborative care requirements.

CMS and FDA Launch Models to Integrate Digital Health in Traditional Medicare

CMS and FDA introduce ACCESS and TEMPO models to enable digital health device integration in traditional Medicare, focusing on outcome-aligned payments, regulatory easing, and expanded patient access.

CMS Launches Mandatory TEAM Bundled Model in 2026: Implications for Home Health Providers

CMS's mandatory TEAM model starts in 2026, bundling payments for select procedures and increasing home health utilization. Key insights on risks, preparation, and hospital partnerships for providers.