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Medicare

The policy landscape is changing, so understanding Medicare reform is essential for Medicare providers. New initiatives such as the Medicare shared savings program promise gains for patients and organizations. How can we make it all work?

HaH-Plus Program Reduces Patient Days Spent in Health Care Facilities in Final 180 Days of Life

Care Redesign

Hospital at Home–Plus Reduces Days Spent in Hospitals and Other Inpatient Facilities

Patients enrolled in Mount Sinai Health System’s HaH-Plus program spend about one-third as many days in health care facilities as inpatients in the last 180 days of life.

Example 4-Quadrant Analysis and Price Setting for a Single-Procedure Bundle - Lessons Learned from DRG Implementation

New Marketplace

Making Bundled Payments Work: Leveraging the CMS DRG Experience

Given its clout and experience, CMS is uniquely positioned to lead the U.S. health system toward high-value care. Bundled pricing based on real costs, leveraging lessons from DRG implementation, would establish the right types of provider incentives.

Responding to Opioids Epidemic - chronic pain, opioids epidemic data

Care Redesign

The Physicians’ Quandary with Opioids: Pain versus Addiction

The national addiction crisis has led to a crackdown on physician prescribing abilities for opioids. Frontline physicians and clinical leaders are torn between wanting to prevent addiction and wanting to treat chronic pain.

Mostashari01_pullquote - Medicare Advantage Holds the Key to Reforming the ACO Program

New Marketplace

Medicare Advantage Holds the Key to Reforming the ACO Program

Value-based care continues to be the emphasis of federal policymakers, as well as many providers. Aligning Medicare Advantage with ACOs would boost both programs.

Much Ado About Nothing Over Healthcare Payment Reform Panel Clip Still

New Marketplace

Much Ado About Nothing Over Payment Reform?

Are we too concerned about payment reform? Should we let the system play its course, or should we give it subtle nudges?

Janice Nevin - Christiana Care Health System

Leadership

The Responsibility of a Big Provider in a Small State

How Christiana Care’s initiatives impact not only those they serve directly, but also the larger community.

Comparison of Select Characteristics of the Sample and Shared Savings Program - MMSP ACO - Physician-Led ACOs

New Marketplace

Do Independent Physician-Led ACOs Have a Future?

While some of these smaller organizations are succeeding, they do face numerous challenges, and there is a need for both regulatory change as well as greater sharing of peer-based resources and best practices.

Mark Miller and Melinda Buntin

New Marketplace

MedPAC’s Role in Curtailing Drug Prices

The former Executive Director of the Medicare Payment Advisory Commission lays out three recommendations for curtailing drug prices, as well as upcoming Medicare trends.

Findings from NYC Health + Hospitals ED Care Management Program

Care Redesign

Learnings from a Large-Scale Emergency Department Care Management Program in New York City

A CMMI-supported interdisciplinary care team effort helped a safety-net system strengthen primary care engagement and identify unmet needs.

Mark Miller and Melinda Buntin

New Marketplace

Why Does MedPAC Matter?

The former Executive Director of the Medicare Payment Advisory Commission explains why physicians and health care providers should understand MedPAC’s mission.

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