CMS wants to repeal a rule that requires states to report on fee-for-service Medicaid payments. Supporters say it will reduce regulatory burden, but opponents argue that it will hurt patients and providers. »
CMS Administrator Seema Verma said transparency and value-based payments are the future of American healthcare. If hospitals don't accept it, Medicare for All could be on its way.
Health insurer Cigna Corp. has come up with a new program that it hopes will be the key to expanding affordable access to gene therapies as more come on the market in the coming years.
MedPAC is developing a value-based payments program for post-acute care settings. The commission says it will reward quality improvements across all post-acute settings.
As federal lawmakers eye a benchmark proposal to end surprise medical bills, providers and insurers tell conflicting stories about California's experience with a similar policy.
Insurers and their trade groups urged the federal government to scrap proposed changes to Medicare Advantage plan audits, warning the changes could result in higher costs and reduced benefits for seniors.
Blue Shield of California's new technology company will partner with the California Medical Association and Aledade to offer doctors tools to improve patient health outcomes while remaining independent.
While value-based payment contracts are popular among providers and insurers, the amount of reimbursement actually at risk remains slim.
Blue Cross and Blue Shield of Minnesota and Minnesota Oncology have entered a five-year value-based arrangement to pay for cancer care based on patient outcomes rather than the number of services performed.
Hospitals that care for a large share of Medicaid and uninsured patients stand to receive less funding from the federal government after the D.C. Circuit reconfigured Medicaid disproportionate-share hospital reimbursement.
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