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Big ACO Push at Heart of Policy Group's Healthcare Overhaul Plan
Medicare providers could see both bigger pay increases and bigger cuts than offered in the current system under a high-profile, bipartisan overhaul proposed Thursday.
The single largest provider benefit in a proposed overhaul from the Bipartisan Policy Center—founded in 2007 by former Republican and Democratic congressional leaders—is the elimination of the sustainable growth-rate formula. That payment system has required congressional patches to avert Medicare physician pay cuts every year since 2002, including a 24.4% cut required at the end of this year.
Overall, the slate of Medicare policy and healthcare tax changes would provide a projected $560 billion in federal healthcare savings, which includes the $138 billion cost of eliminating the SGR and its required cuts.
The catch for providers is that they would never receive another increase in their fee-for-service payments, unless their area is given a rural exemption from the HHS secretary.
Read the full story here: http://bit.ly/10n040c
Source: Modern Healhcare
Oncology Onward: A Conversation With Penn Medicine's Dr Justin Bekelman
December 19th 2023Justin Bekelman, MD, director of the Penn Center for Cancer Care Innovation, sat with our hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, for our final episode of 2023 to discuss the importance of collaboration between academic medicine and community oncology and testing innovative cancer care delivery in these settings.
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Accountable Care Organization Initiatives to Improve the Cost and Outcomes of Specialty Care
April 2nd 2024Engaging specialty physicians is an emerging area of focus for Medicare accountable care organizations. Enhanced data on specialist costs and outcomes are essential to addressing alignment challenges.
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Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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Reducing Low-Value Care Is Hard, but What About Just Not Paying for It?
March 14th 2024After years of efforts to reduce low-value care, panelists at the 2024 Value-Based Insurance Design Summit proposed a new strategy: drawing a line in the sand that payers will not be on the hook for these services.
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Evolution of HDHPs With VBID Components Can Improve Care for Chronic Disease
March 14th 2024Over the course of the last 20 years, high-deductible health plans (HDHPs) have undergone an evolution. Today’s plans, with more high-value services covered predeductible, can improve care for people with chronic diseases, said panelists at the 2024 Value-Based Insurance Design (V-BID) Summit.
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