Will CMS move to direct contracting to advance APM participation? | CMS approves 5-year extension of Md. all-payer model | Lawmakers urge increase in Rural Health Care Program's annual cap
May 16, 2018
Accountable Care SmartBrief
SIGN UP ⋅   FORWARD
Accountable Care Spotlight
Will CMS move to direct contracting to advance APM participation?
CMS Administrator Seema Verma has expressed frustration with the slow pace at which health care providers are assuming financial risk under alternative payment models, and HHS Secretary Alex Azar said that accelerating the transition to value-based care is among his top priorities. Both indicated a willingness to allow health care providers to leave the Medicare Shared Savings Program, and Azar said they are considering offering direct contracts between health care providers and Medicare.
Healthcare Informatics online (5/14) 
LinkedIn Twitter Facebook Google+ Email
CMS approves 5-year extension of Md. all-payer model
The CMS has granted Maryland approval to expand its all-payer health care reimbursement model through 2023, with the option to renew it for another five years thereafter. The current all-payer model, which is expected to save Medicare $300 million per year by 2023, exempts the state from typical Medicare regulations and allows it to set its own hospital reimbursement rates, with physician offices and nursing homes allowed to voluntarily participate beginning Jan. 1.
WBAL-AM (Baltimore) (5/14),  Modern Healthcare (tiered subscription model) (5/14) 
LinkedIn Twitter Facebook Google+ Email
Lawmakers urge increase in Rural Health Care Program's annual cap
The Federal Communications Commission should increase the annual spending cap for the Rural Health Care Program, which provides funding to support telemedicine services in rural communities, beyond its current level of $400 million, a bipartisan group of 31 senators wrote in a letter. "Unless the spending cap is raised appropriately to account for current needs and future growth, health care providers in rural areas will encounter severe rate increases for their broadband services, making it even harder for rural health care practitioners to engage in life-saving telemedicine," the letter states.
Health Data Management (free registration) (5/15) 
LinkedIn Twitter Facebook Google+ Email
OneCare Vermont model expands its coverage in the state
OneCare Vermont model expands its coverage in the state
(Adam Berry/Getty Images)
The OneCare Vermont initiative, which allocates a set amount of money for participating providers to cover services for all patients in the program, is increasing its scope of coverage in the state and is being considered by other states as a way to reduce costs and keep people healthy. The organization came within 1% of its financial goals in its first year, and while it covers about 18% of the state's population, the goal is to cover 70% of health care services provided in the state.
The Associated Press (5/13) 
LinkedIn Twitter Facebook Google+ Email
 
Insight into Health Care Quality
N.Y. health care system offering coordinated care for high-risk pregnancies
A new outpatient center at NewYork-Presbyterian and Columbia University Irving Medical Center is offering team-based coordinated care for patients with high-risk pregnancies. The center offers counseling, telemedicine, integrated postnatal care and research.
Healthcare Dive (5/15) 
LinkedIn Twitter Facebook Google+ Email
The Technology Component
N.Y. hospital using data to locate HIV treatment, prevention areas
New York's North Shore University Hospital is using data and technology to identify where HIV is more prevalent in Long Island and Queens. The hospital has a program that includes social workers, nurse case managers, health educators and dietitians, but officials want to see if everyone is benefiting equally.
Specialty Pharmacy Times (5/14) 
LinkedIn Twitter Facebook Google+ Email
Screening tool augments prediction of dementia risk
A study in the Annals of Family Medicine found that individuals whose Mini-Mental State Examination scores dropped by at least 2 points over two years were more likely to develop dementia, while an even higher dementia risk was found among those who also had imperfect Visual Association Test scores. Researchers suggest that VAT "may help distinguish older adults who need further cognitive examination from those in whom a watchful waiting policy is justified."
Healio (free registration) (5/14) 
LinkedIn Twitter Facebook Google+ Email
Population Health and Patients
Weight-loss interventions focused on habits may help
An analysis of data on 75 adults who were overweight or obese found that those who participated in one of two habit-based weight-loss intervention programs lost more weight than the control group and improved body mass index, weekly exercise rates and reported well-being, anxiety and depression from baseline. The researchers reported in the International Journal of Obesity that 65% of participants in the intervention groups reduced body weight by at least 5% from baseline.
Healio (free registration)/Endocrine Today (5/15) 
LinkedIn Twitter Facebook Google+ Email
Medicare program aims to stop prediabetes progression
The Medicare Diabetes Prevention Program, which was established to help prevent the progression of prediabetes by educating patients about the benefits of increased physical activity, long-term dietary changes and behavior-change strategies for weight control, builds on success seen in a CDC program often covered by private payers. Participants in Medicare's prevention program must be enrolled in Medicare Part B; have no diagnosis of type 1 diabetes, type 2 diabetes or end-stage kidney disease; have a body mass index of at least 25; and have had an abnormal blood glucose reading within 12 months of the start of the first session.
HealthDay News (5/16) 
LinkedIn Twitter Facebook Google+ Email
Health Insurance and Accountable Care Provider Company News
Solutions Provider News
AHIP News
Advancing APMs and value-based care strategies
At Institute & Expo you'll enjoy insights, ideas, and lightbulb moments. Explore alternative payment models, outcome-based specialty drug contracting, value-based insurance design, and other tactics that support the move from volume- to value-based care. You'll explore aligning multiple stakeholder incentives, challenges implementing various models, and whether current benchmarks will effectively drive quality. Register today.
LinkedIn Twitter Facebook Google+ Email
AHIP Education's Spring Price Break ends May 31.
AHIP Insurance Education makes it easier to take your career to new heights. Right now, save 20% off select courses. Choose from 40+ courses and webinars, 15 designations, and more. But these great savings won't last long. AHIP's Spring Price Break ends May 31. So, start learning, achieving, succeeding, and saving now. Don't delay, enroll today! Use coupon code SPRING2018.
LinkedIn Twitter Facebook Google+ Email
Learn more about AHIP:
About AHIP | Join AHIP | Educational Opportunities | AHIP Select
AHIP Coverage Blog | Submit press releases and other company news
JOBS
powered by
Data Governance Specialist
BLUE CROSS BLUE SHIELD ASSOCIATION - Chicago, IL
Senior Director, LTSS Clinical Operations
UPMC HEALTH PLAN - Philadelphia , PA
Creative Director, Advocacy
AMERICA'S HEALTH INSURANCE PLANS (AHIP) - Washington, DC
PRESIDENT AND CEO
DELTA DENTAL OF IDAHO - Boise, ID
Executive VP, Policy & Strategy
AMERICA'S HEALTH INSURANCE PLANS (AHIP) - Washington, DC
  
  
The truth is the kindest thing we can give folks in the end.
Harriet Beecher Stowe,
writer and abolitionist
LinkedIn Twitter Facebook Google+ Email
  
  
Sign Up
SmartBrief offers 200+ newsletters
Advertise
Learn more about the SmartBrief audience
Subscriber Tools:
Contact Us:
Advertising  -  Deanie Griffin
Partner Relations Manager  -  Madeline Sarver
Editor  -  Melissa Turner
Contributing Editor  -  Yvonne Chanatry
Mailing Address:
SmartBrief, Inc.®, 555 11th ST NW, Suite 600, Washington, DC 20004
© 1999-2018 SmartBrief, Inc.®
Privacy policy |  Legal Information