CMS Updates ACO REACH Model for Performance Year 2024
CMS introduces pivotal changes to the ACO REACH model for 2024, focusing on health equity and offering more clarity to participants.
Policy & Regulation
Value in Health Care Act of 2023 Could Push VBP Further
Federal lawmakers introduced the Value in Health Care Act of 2023 and a number of physician and medical groups quickly announced their endorsements for the Act that would incentivize greater participation in value-based health programs.
CMS Approves CA and KY Requests to Provide Behavioral Health Services Through Mobile Crisis Intervention Teams
A fresh take on mental health support: California and Kentucky are stepping up their game and joining four other states by deploying mobile crisis teams to enhance access to behavioral health services.
Bipartisan Bill Calls for Extended VBP Incentives
Senators John Barrasso and Sheldon Whitehouse introduced a bipartisan bill that would extend value-based payment incentives for healthcare providers participating in Medicare’s alternative payment models APMs.
House Lawmakers Requesting Extension of Value-Based Payment Incentives
More than 40 House lawmakers signed a letter asking congressional leaders to support value-based payment incentives and extend the 5% bonus for Alternative Payment Model (APM) participation.
Humana Issues Brief Detailing Social Determinants of Health Initiatives
According to an Urban Institute issue brief, the uninsured population may increase by more than 3 million if premium tax credits under the American Rescue Plan are not extended.
End of ARP Tax Credits Could See Millions Join the Uninsured Population
According to an Urban Institute issue brief, the uninsured population may increase by more than 3 million if premium tax credits under the American Rescue Plan are not extended.
CMS Extends Open Enrollment Period
Beginning this year, consumers will have an extra 30 days to review and choose health plans through Open Enrollment, which will run from November 1, 2021, through January 15, 2022, on HealthCare.gov
American Rescue Plan Distributing Additional $452 Million through CMS
$452 million in federal funding is being distributed through CMS to support 13 states’ efforts to improve access to affordable, comprehensive health insurance coverage through section 1332 state-based reinsurance waivers
ACOs Generated Billions in Shared Savings in 2020
ACOs participating in the Medicare Shared Savings Program (Shared Savings Program) in 2020 earned performance payments totaling nearly $2.3 billion while saving Medicare approximately $1.9 billion.