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CMS to Private Insurers: Adopt Payment Reforms More Quickly
Leaders from the Centers for Medicare & Medicaid Services think private insurers have been too slow to adopt payment reforms, but they would be best served by adopting value-based payment systems in tandem with CMS today.
Leaders from the Centers for Medicare & Medicaid Services think private insurers have been too slow to adopt payment reforms, but they would be best served by adopting value-based payment systems in tandem with CMS today.
Alignment between public and private payers is key to making value-based models work, in order to “provide consistent incentives to clinicians and organizations,” wrote Rahul Rajkumar, MD, JD, a CMS senior advisor; Patrick Conway, MD, CMS’ deputy innovation and quality administrator; and Marilyn Tavenner, CMS administrator, in a viewpoint article published online this week by the Journal of the American Medical Association.
That doesn’t mean private payers need to adopt provider contracts identical to CMS’ or replicate their models.
Read the full story here: http://bit.ly/1jAmBtK
Source: Healthcare Payer News
Despite Record ACA Enrollment, Report Reveals Underinsured Americans Are in Crisis
November 21st 2024Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care.
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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.
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