Industry Updates

//Industry Updates

More Physician-Led ACO’s are Leaving After ACO Reform

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 [...]

By | 2019-03-15T12:28:19+00:00 March 15th, 2019|Articles, Industry Updates|0 Comments

CMS Star Rating Model to be Reconsidered

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 [...]

By | 2019-03-04T09:49:31+00:00 March 4th, 2019|Articles, Industry Updates|0 Comments

CMS Proposes Rule to Reduce ACA Premiums

On Thursday, the Center for Medicare and Medicaid Services (CMS) announced a proposed rule that aims to cut fees for those enrolled in the Affordable Care Act (ACA). This act can potentially eliminate silver-loading within the health insurance market. The practice of silver-loading is when premiums are heavily increased onto silver-level exchange plans, which are [...]

By | 2019-01-18T10:01:56+00:00 January 18th, 2019|Articles, Industry Updates|0 Comments

Healthcare.gov Enrollment Count Drops by 3.8%

According to an update from Thursday from the Centers for Medicare and Medicaid Services (CMS), Healthcare.gov enrollment numbers drop compared to enrollment numbers in 2018. The update showed that 8.4 million Americans had enrolled in a health plan for 2019, which is down 3.8% from the enrollment count last year, which is more than 8.7 [...]

By | 2019-01-04T13:14:53+00:00 January 4th, 2019|Articles, Industry Updates|0 Comments

Health Spending Slowed in 2017

According to the new annual report published by the Centers for Medicare and Medicaid Services' Office of the Actuary, the U.S. healthcare spending growth had decreased from 2016 to 2017. Factors that had caused the decline in healthcare spending was the reduced use of hospital care, physician services and prescription drugs. In 2017, the annual [...]

By | 2018-12-07T10:21:01+00:00 December 7th, 2018|Articles, Industry Updates|0 Comments

Telehealth Not As Prominently Utilized in Medicare

In a report to Congress, the Centers for Medicare and Medicaid Services (CMS) stated that telehealth has the potential to provide valuable care without an increase in cost. Although promising, telehealth has yet to be adopted across Medicare beneficiaries. Within 2014 to 2016, less than one percent of all Medicare beneficiaries, which is estimated to [...]

By | 2018-11-21T09:29:49+00:00 November 21st, 2018|Articles, Industry Updates|0 Comments