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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?

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.

Proportion of ACOs Achieving Shared Savings under Medicare ACO Programs in the First 3 Years of Payment Contracts

New Marketplace

Explaining Sluggish Savings under Accountable Care

ACOs are as diverse as the U.S. health care system. Developing policy approaches that accommodate this diversity will be important for payment and delivery reform to achieve its potential.

NEJM Catalyst single-payer survey results

New Marketplace

Why Clinicians Support Single-Payer — and Who Will Win and Lose

Single-payer health care is gaining adherents among physicians and other providers. But as-yet-undetermined details will matter greatly.

Illustrative Examples of Health Policies, Possible Goals, and Relevant Evidence Base

New Marketplace

Evidence-Based Health Policy

Having a clear framework for characterizing what is, and isn’t, evidence-based health policy is a prerequisite for a rational approach to making policy choices.

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