A new Robert Wood Johnson Foundation (RWJF) report analyzed how CMS has expanded billing codes and demonstrations focused on supporting primary care. The report said primary care providers (PCPs) involved in CMS demonstrations are getting higher monthly payments.
In October, almost of all the MedPAC members said MIPS should be replaced after staff proposed the development of an alternative payment system. However, replacing MIPS may not be easy, as Kate Goodrich, M.D., the Centers for Medicare & Medicaid Services’ chief medical officer, said much of the proposal would require statutory changes that would need Congressional approval.
Patients who receive home health care after a hospital discharge are saving the health care system some serious dough, on average, according to a recent study published in the American Journal of Medicine (AJM). With $40 billion spent on hospitalizations annually, the study furthers the value proposition of home health care as a major driver of health care savings and improved clinical benefits.
With algorithms and analytics, first-moving health orgs are reaping alternative payment models to reduce readmissions, incentivize physicians to coordinate care and improve patient satisfaction.