Some of the proposed changes to the Medicare Shared Savings Program align with things the National Association of ACOs had been asking for, said Allison Brennan, MPP, senior vice president of government affairs for the National Association of ACOs.
Some of the proposed changes to the Medicare Shared Savings Program align with things the National Association of ACOs had been asking for, said Allison Brennan, MPP, senior vice president of government affairs for the National Association of ACOs.
Transcript
What is the greatest opportunity you see as part of CMS’ proposed changes to the Medicare Shared Savings Program?
There are a number of opportunities in the proposed Pathways to Success rule, and there are a number of things that we have been asking for, for a while. Some of examples of the opportunities include increased program stability and predictability through longer agreement periods. We’re also seeing an effort to reduce quality reporting burdens. We’re seeing broader implementation of certain payment rule waivers and introduction of a beneficiary incentive program, which will help engage beneficiaries and make sure that they’re getting the care that they should from the providers that are appropriate.
We’re also really pleased to see some program flexibility with certain things such as how a beneficiary is assigned to an ACO, so allowing ACOs some more flexibility to pick some of those key program methodologies.
Medicaid Budget Survey Highlights Postpandemic Challenges and Priorities
October 24th 2024The Medicaid budget survey for fiscal years 2024 and 2025 revealed state predictions are expecting a decline in Medicaid enrollment and an increase in spending next year due to the end of pandemic-era policies and federal funding.
Read More
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
Listen
Frameworks for Advancing Health Equity: Community Wellness Centers
September 27th 2024Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan, shares insight into innovative initiatives provided by the wellness centers and their new mobile mammogram clinics.
Listen