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AHA Fears Tightening of Antitrust Restrictions Regarding ACOs
On January 3, the AHA noted in a response to a public request for comment that it was disappointed (PDF) in a little-noticed announcement from the Centers for Medicare & Medicaid Services (CMS) that it planned to tighten some ACO fraud-and-abuse waivers by narrowing legal definitions after two years of experience with the program.
Read the full story at: http://tinyurl.com/8xxdqw9
Source: Modern Healthcare
The AHA urged CMS to declare that it would only make material changes to the rules after a public notice-and-comment period. “ACOs should not be at risk for changes to the rules through obscure or little noticed issuances,” the AHA letter said.
Although observers roundly praised federal officials for loosening the antitrust and abuse rules on accountable care organizations (ACOs), the American Hospital Association (AHA) is protesting what it says are efforts by regulators to move back toward stricter enforcement over time.
Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH
April 1st 2025To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
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