The CMS vision is ambitious, but so is the potential for rehab therapy to shape its execution. To do that, providers must actively engage, document their impact, and advocate for their inclusion in evolving models of care.
Finding a payment technology solution that is specifically designed for alternative payment models like capitation helps payers and providers achieve financial sustainability in a value-based system.
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
The Making Care Primary Model will be tested by the Center for Medicare and Medicaid Innovation from July 1, 2024, to December 31, 2034, in Colorado, Massachusetts, Minnesota, New Jersey, New Mexico, New York, North Carolina and Washington.
There are about 17 million people eligible for coverage through Medicaid or the Affordable Care Act marketplaces, and one of CMS' priorities is to make them aware of their insurance options, Administrator Chiquita Brooks-LaSure said at this year's HLTH conference.
Main Street Health, launched by former Center for Medicare & Medicaid Innovation Director Brad Smith, aims to provide value-based care solutions in rural America. The company's first step will be to partner with primary care clinics, urgent care centers and independent pharmacies to implement a program that will coordinate care for seniors.
The insurer said it will provide compensation for better care navigation based on quality and cost metrics across various parts of the patient journey ranging from inpatient admissions, ED visits, prescription drugs, diagnostics and radiology.
In a landscape where complexity has long been the norm, the power of one lies not just in unification, but in intelligence and automation.
William Shrank, who is currently serving as the chief medical officer of the insurance services division at UPMC, will take over from the retiring Roy Beveridge