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Hospitals Want to Delay a Key Obamacare Program
In 2011, the Obama administration settled on 32 health care systems, scattered across the country, to lead the Affordable Care Act’s most ambitious cost-control effort. These hospitals and doctors would move Medicare away from paying doctors for volume—and toward paying for value.
The group was given a name that has stuck: the pioneers. When I asked the Advisory Board’s Chas Roades to describe the group, he called them “The Lewis and Clarks of hospitals.” “They’re really exploring new territory,” says Roades, who oversees research for the hospital consulting firm.
Read the full story: http://wapo.st/Zgvy1d
Source: The Washington Post
AI Meets Medicare: Inside CMS’s WISeR Model With Sanjay Doddamani, MD, MBA, Part 2
August 5th 2025In this second part of his interview with The American Journal of Managed Care®, Sanjay Doddamani, MD, MBA, a former senior advisor to CMMI and founder and CEO of Guidehealth, continues a dialogue on the future of value-based care and the promise—and limits—of AI-enabled innovation, reflecting on challenges like rising Medicare costs and patients’ growing financial burdens.
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Trump Directs Pharma Companies on Cutting Drug Prices Under Most-Favored-Nation Order
July 31st 2025President Donald Trump has sent letters to pharmaceutical companies, aiming to compel them to lower drug prices in the US to match the lowest prices offered in other developed nations, a move that could significantly reduce costs and disrupt the current system of pharmacy benefit managers.
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