Value Based Care

MedPAC to Congress: Change MA Benchmarks, Slow Down on APMs

June 18th 2021, 12:15pm

Article

The Medicare Payment Advisory Commission (MedPAC) suggested several changes to Medicare Advantage (MA) plan benchmark calculations, with the intent to generate yield savings for Medicare, and urged CMS to streamline alternative payment model (APMs) where it can.

Supreme Court Tosses Challenge to ACA for Lack of Standing

June 17th 2021, 4:23pm

Article

In a 7 to 2 decision, the Supreme Court ruled Thursday that the Affordable Care Act (ACA) will stand, as plaintiffs seeking to declare the law unconstitutional did not have standing.

Association of Co-pay Elimination With Medication Adherence and Total Cost

June 15th 2021, 1:00pm

Article

This study evaluated cost and utilization attributed to members enrolled in a health care program with no pharmacy co-pay. Health care savings were identified in addition to medication adherence improvements.

Value-Based Management of Specialty Drugs: Practical Considerations and Implications for Pharmacy

May 13th 2021, 4:00pm

Article

Policy makers and health plans seek value-based management of specialty drugs. This study examines real-world factors that favor some approaches over others and their potential impact.

A 10-Step Program to Successfully Reduce Low-Value Care

May 7th 2021, 1:00pm

Article

The frequency of low-value care can be reduced by a respectful, data-driven process anchored in nonjudgmental communication and explicit core values.

Future of CKD Care Remains Focused on Value, Even With CMMI Delay

May 1st 2021, 12:30pm

Article

Although the Center for Medicare and Medicaid Innovation (CMMI) has delayed the start of payment models for kidney care, one dialysis provider says it remains committed to the concept.

IVI to Hold Second Methods Summit to Drive Patient-Centered Value Assessment

April 27th 2021, 1:00pm

Article

The summit will address priority patient inputs for comparative effectiveness research and health technology assessments.

Oncology Care Pathways Launched by Payers: What Are the Trends?

April 26th 2021, 7:15pm

Article

Quantifying the return on investment came up for both those implementing an oncology care pathway (as a potential barrier) as well as for payers still not convinced it is a way to go.

Disparities in Cancer Care: Has Precision Medicine Widened the Gap?

April 22nd 2021, 5:44pm

Article

Stopping the Flood: Reducing Harmful Cascades of Care

April 22nd 2021, 4:00pm

Article

Reducing cascades while maintaining our commitment to high-quality care requires equipping patients and clinicians with the information, tools, and support to embrace uncertainty.