CMS to Launch New Primary Care ACO Model in 2025
The Centers for Medicare & Medicaid Services announces the ACO Primary Care Flex Model, a new initiative designed to boost primary care within the Medicare Shared Savings Program, starting in 2025.
CMS
Wellcare Embarks on Innovative Partnership to Propel Value-Based Primary Care Forward
Wellcare teams up with technology firm Pearl Health to elevate value-based primary care, offering Medicare Advantage beneficiaries improved care quality and cost-efficiency through data-driven insights and collaborative risk management.
CMS Enhances Medicaid HCBS Quality Reporting in Money Follows the Person States
The Centers for Medicare & Medicaid Services mandates early quality measure reporting for states under the Money Follows the Person program, aiming to bolster Medicaid Home and Community-Based Services.
CMS Innovation Designed to Transform Behavioral Health
Explore how the CMS’s Innovation in Behavioral Health (IBH) Model is setting new standards in integrated care, focusing on value-based approaches, health equity, and addressing social determinants of health.
AHCA and NCAL Released Recommendations to Make ACOs More Accessible for Long Term Care Providers
Discover the innovative strategies proposed by healthcare associations to facilitate greater participation of long-term and post-acute care providers in Accountable Care Organizations (ACOs), aiming to improve patient care and system efficiency.
CMS Enhances Accountable Care Organization Landscape in 2024
Discover how CMS’s new Medicaid payment model, the IBH Model, aims to enhance care coordination and improve health outcomes for Medicare and Medicaid beneficiaries with mental health conditions and SUDs.
New Value-Based Payment Model Being Tested to Integrate Behavioral Health and Boost Care Coordination
Discover how CMS’s new Medicaid payment model, the IBH Model, aims to enhance care coordination and improve health outcomes for Medicare and Medicaid beneficiaries with mental health conditions and SUDs.
Record-Breaking Enrollment for Affordable Care Act Marketplace
Explore the historic surge in HealthCare.gov enrollments, marking an unprecedented milestone for the Affordable Care Act, and learn about the ongoing efforts to ensure affordable, quality health insurance for all.
New CMS Maternal Care Delivery Model Aims for Enhanced Health Outcomes
Explore CMS’s groundbreaking initiative aimed at transforming maternal health outcomes and expanding access to essential pregnancy and postpartum care services, including details on its implementation and goals.
CMS Proposes New Rules to Enhance Fairness for Medicare Advantage Beneficiaries
Explore CMS’s new proposals to regulate agent compensation in Medicare Advantage and improve access to behavioral healthcare, aiming for a more equitable healthcare environment.