Revenue Cycle and Payer News – May 1, 2024
Reported payers and health insurance industry news from Cohere Health, Humana, AHIP, UnitedHealth Group, Independence Blue Cross, AMA, NAACOS, CVS Health, and more.
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Top Earning ACOs Deliver Keys to Success
Accountable care organizations have been around in Medicare for more than a decade, generating more than $22 billion in savings and giving back more than $8 billion to the Medicare Trust Fund. But a handful of ACOs has consistently been at the top of the list of top savers, including…
NAACOS Largely Supports Proposed Changes to Medicare’s Largest ACO Program
By Aisha Pittman MPH & Clif Gaus ScD – NAACOS has been advocating for several changes to the Medicare Shared Savings Program. We push for policies we feel would increase participation in accountable care organizations and help CMS reach its stated goal of having all Medicare beneficiaries in a relationship accountable for quality and total cost of care by 2030.
Friday at Five – Industry Studies, Surveys, and Reports
The healthcare industry is not in short supply of changes that need to be made. This week’s Friday at Five highlights some industry reports lighting the way for better health data exchange, patient experience, health equity, interoperability, and social determinants of health to name a few.
Register for the NAACOS Fall 2023 Conference
Starts on September 20th in Washington DC – NAACOS conferences are the only ACO events exclusively organized by ACOs. The two-day in-person event with pre-conference activities will feature the insights of CMS officials, ACO leaders, and policy insiders. Early bird special ends Aug. 4th.
Revenue Cycle and Payer News – July 26, 2023
Latest news being reported on payers and the health insurance industry including news from Anthem Blue Cross and Blue Shield, IBX, CareSource, NAACOs, Blue Cross Blue Shield Association, CareSource, and more.
ACO Quality Changes Stall Drive to the Future
By Megan Reyna MSN RN & Jennifer Gasperini – ACOs will be required to report MIPS CQMs by 2025. CMS stated goal in transitioning to these new reporting approaches is to decrease administrative burden by replacing CMS’ existing manual reporting system, with electronic quality reporting.
Industry Reacts to CMS 2024 PFS Proposed Rule
CMS issued the 2024 proposed Physician Fee Schedule with a 60 day comment period. Here is what we have rounded up on initial thoughts from our industry from NAACOS, MGMA, APTA, AMGA, AMA, ATA, and CHI.
House Committee Holds Oversight Hearing on Medicare Value Programs
By Robert Daley – In the eight years since MACRA, the law has been a strong step in the right direction. ACOs account for the majority of Medicare’s advanced APMs, using incentives to hire care managers to provide personal care to their sickest patients.