Primary Care First Model Application Deadline Extended
CMS extends the deadline for interested applicants to apply to Primary Care First Model Cohort 2 for both payer applications and practice applications.
Medicare
CMS Releases 2021 Marketplace Special Enrollment Period Report
The Centers for Medicare & Medicaid Services report that over 525,000 Americans signed up for health insurance from the start of the 2021 Marketplace Special Enrollment Period through March 31, 2021.
GPDC Model Participants for 2021 Announced
The Center for Medicare and Medicaid Innovation announced the 53 Global and Professional Direct Contracting (GPDC) Model Participants for Performance Year 2021
Shift to Value-Based Care Highlighted in National Alliance Purchaser Survey
The National Alliance of Healthcare Purchaser Coalitions recently released the results of their survey “Pulse of the Purchaser 2021-2023 Directions in Workforce, Benefits, Health Equity,” completed by 151 employers and purchasers nationwide.
Percent of Children in Medicaid Managed Plans Increases to 94%
Nationwide, the children under 21 enrolled in Medicaid crew to 40.5 million in 2017 from just 23.5 million in 2000.
Humana and Mercy Join Forced to Expand Access to Virtual Value-Based Care
Mercy and Humana recently announced that they are going to partner to offer their Medicare Advantage patients access to the telehealth center at Mercy. They will also be implementing a new VBP model for reimbursement.
Medicare Spend Increases on Opioids and Antibiotics While Low-Value Care Spending Decreases
A new study by the RAND Corporation found that low-value care spending dropped from 2014 to 2018 for Medicare recipients.
Payers Can Improve Care Management to Improve ROI
McKinsey & Company (McKinsey) recently released a report looking at the untapped potential of payer care management. McKinsey listed four actions for payers to take in order to achieve a broader vision for care management and improve ROI.
The Four Pillars to Build On in a VBP Environment
Four Pillars to Build On in a VBP Environment THE VBP Blog [1/14/2021] In 2020, we took on the monumental task of evaluating all ten states that offered managed care programs for the Intellectual and Developmental Disabilities (I/DD) population. In our final blog of that series, we broke down our findings into four main pillars. These frameworks provided structure across the many different approaches over the ten states. At the end of 2020, we offered our commitments as a company and in this blog we take a look at how those cross over. 4 Pillars of Reviewing Value-Based Care in I/DD Managed Care Time Matters: more than almost any other factor, the states that gave themselves time for a methodical… Read More »The Four Pillars to Build On in a VBP Environment
CMMI Releases Overview of Value-Based Care Models
The Center for Medicare and Medicaid Innovation (CMMI) introduced models that supported value-based care while looking for ways to lower cost and refine risk adjustment.