Payment Models/Reimbursement
-
Nursing Homes Mandated to Provide Certain Levels of Staffing Under Final Rule
After years of federal rulemaking, the final minimum nursing home staffing mandate rule has arrived. It includes multiple staffing hours requirements, including for RNs, nurse aides, and for total nurse staffing–and there’s more. You’ll want to read our recent blog as we unpack these and other details from the final rule.
-
Top 5 Questions: New ACO Primary Care Flex Model
Primary care is a lynchpin for providing person-centered and team-based care. The new voluntary ACO Primary Care Flex Model looks to test new payments focusing in on smaller physician practices, rural hospitals, FQHCs, RHCs and more. Read on to learn more.
-
3 Steps to Take on Telehealth, Virtual Care
Care delivery morphed during the pandemic into a landscape filled with telehealth, virtual health and other technology-enabled services. However, that landscape continues to shift with existing flexibilities set to expire. Read on to learn more.
-
CMS Releases New Behavioral Health Payment Model
A new opportunity will be available in some states to improve quality of care and outcomes for individuals with mental health or substance use disorders. Read our new blog on the Innovation in Behavioral Health model for details.
-
By The Numbers: Medicare Continues Pushing Accountable Relationships
Accountable care relationships, like ACOs, will continue. New statistics from CMS reveal 2024 ACO growth and how all types of providers and organizations are electing to participate. Read on for more.
-
Tax Deal Possible; Pay-For Would End ERC
A large tax proposal released in the U.S. House on January 16 could end claims for the COVID-era Employer Retention Credit if enacted. The proposal includes various business tax and child tax credit policies, which are paid for by ending ERC filings on Jan. 31, 2024. You’ll want to read on for more details.
-
Top 10 Physician Practice Year End To-Dos
If you’re a physician practice, what can you do today to make sure you end 2023 well and start 2024 off on the right foot? We have your Top 10 to-dos. Read on for more insights.
-
Reimbursement Cut, ACO Participation Penalized for Information Blocking
There’s been some debate over who owns your personal electronic health information, but the law says it’s the patient’s right to access that without unnecessary barriers. Those found to be blocking information could face penalties, which were recently proposed. Make sure you know what’s required of you by reading on.
-
340B Round-Up: $9 Billion Payment Remedy, More Lawsuits
The 340B program is complex and growing more so with every lawsuit. Recently, CMS finalized how it would repay $9 billion to some 1,650 impacted hospitals. Plus, another court ruling addresses the definition of “patient” while a lawsuit is filed on child site registrations. You’ll want to read our 340B round-up and then reach out for assistance.
-
Participants Earned $484 Million Under GPDC Model, CMS Saved $371 Million
Model results are in for the direct contracting program. CMS had a net savings of $372 million while model participant net savings were $484 million, all while maintaining high quality. Read our blog for more results and for details on how its successor, ACO REACH, will be changing in future years.