By Cynthia Henry – As the healthcare industry adapts to economic and regulatory changes, Medicare Advantage stands out as a cost-effective model consistently delivering value to beneficiaries. Compared to traditional fee-for-service Medicare, MA excels in financial efficiency and quality outcomes, making it a resilient choice for enrollees and a strategic asset for payers.
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By Amit Shah – HEDIS is a measurement set used to determine the efficacy of a payer to care for its members. The performance data collected through HEDIS assists payers in identifying areas for improvement as well as tracking successes through a measurement set that allows them to be compared to other payers.
By Patrizia Cavazzoni MD & Peter Marks MD PhD – Through the Hub, we plan to foster a community at the FDA for open dialogue and knowledge sharing to identify new approaches to drug and biologic development and overcome hurdles that have traditionally impeded progress for rare disease treatments.
By Terah Tessier & Laura McCrary – We sat down with the KONZA National Network team, one of the initial awardees, to learn how the STAR HIE Program helped support the state’s public health agency exchange health information during the COVID-19 pandemic.
In case you missed it, this is recent communication from the Centers for Medicare & Medicaid Services. Subscribe to their email lists to keep up to date on all press and news releases.
By Misty Graham – If you’re participating in the Merit-based Incentive Payment System or MIPS Value Pathways, you’ve likely encountered a familiar scenario: you review your estimated MIPS score in your dashboard, only to find that months later, when CMS releases the final score, the numbers don’t quite add up.
From the Health IT Buzz Blog – Earlier this year we celebrated the 20th birthday of the Office of the Assistant Secretary of Technology Policy/Office of the National Coordinator for Health IT (hereafter ASTP) and reflected on the transformative impact of health IT on patient care delivery in the US.
The Centers for Medicare & Medicaid Services has issued its Calendar Year 2025 Medicare Physician Fee Schedule  Final Rule, which includes policies for the Quality Payment Program (QPP) for the 2025 performance year and beyond. This rule will be published on December 9, 2024, in the Federal Register.
By Kim Boyd – A recent study published in Health Affairs examined the current state of Health Information Organizations and their engagement with TEFCA. TEFCA represents a major leap toward creating a unified federal health information exchange, but the study reveals a mix of optimism and hesitancy across the industry.