The Centers for Medicare and Medicaid Services have reported savings from their Medicare Shared Savings Program. According to new agency data, the CMS has retained a savings amount totaling $739.4 million in 2018. Compared to 2017, the CMS only saved a total of $314 million from the Medicare Shared Savings Program. Although more ACOs had [...]
As hospitals around the nation are shifting from fee-for-service to value based care, hospitals are also looking to revitalize their hospital board. As the industry is getting on board with major changes and improvements, such as the focus on population health and alternative payment models, the hospital board needs to provide better insight and advice [...]
At an American Hospital Association meeting on Tuesday, Center for Medicare and Medicaid Services Administrator, Seema Verma, urged hospitals to comply with the payment policies being driven by the Trump administration. According to the CMS Administrator, the current industry's climate could see more challenging times, as the government is getting more involved in the healthcare [...]
In a report released by the Centers for Medicare and Medicaid Services, the enrollment in the health insurance exchanges under the Affordable Care Act has been down by 1.2 million of unsubsidized enrollment in 2018. Factors that can account for the massive drop in enrollees can be attributed to the increased price for premiums, which [...]
In a study published by the National Association of Insurance Commissioners' 2018 Accident and Health Policy Experience, health insurance companies spend less on the dollar for their short-term health plans. These short-term health plans were recently given more access to by the Trump Administration last year. Compared to more extensive health plans offered on the [...]
According to a report from the Kaiser Family Foundation, insurers who participate in selling health insurance plans in the Affordable Care Act (ACA) markets have collected more premiums than needed. The report estimates that insurers have collected an excess of $800 million in premiums and are expected to give these premiums back to consumers as [...]
The Centers for Medicare and Medicaid Services (CMS) has been working to continually evolve and reform the Accountable Care Organizations (ACOs) program. A recent reform to the ACO program was the Pathways to Success Rule, which was enacted in late 2018, which focused on reforming the Medicare Shared Savings Program (MSSP). The Pathways to Success [...]
The Centers for Medicare and Medicaid Services (CMS) is considering eliminating their current star rating model for a model that takes the average of scores, rather than their current model based on a latent variable model (LVM). The decision would not be quick, but would be enacted in 2020. The CMS' new stance on their [...]
On January 14, 2019, the House Democrats developed a draft for the approaching Medicare for All bill, which will suggest a new budget model. Initially, Senator Bernie Sanders had developed the framework for the Medicare for All bill in 2017, but the new draft expands on the funding for the bill. Sanders' bill had put [...]
The Centers for Medicare and Medicaid Services (CMS) had announce on Thursday the second part of their 2020 Medicare Advantage Advance Notice, which will increase the Medicare Advantage rates by 1.59% in 2020. The rate hike is not as substantial as the rate hike for 2019, which is 3.4%. The first section of the 2020 [...]