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CMS proposes delaying certain Medicaid value-based drug payment requirements
The Centers for Medicare & Medicaid Services yesterday proposed delaying Medicaid “best price” and “best price reporting” requirements for state value-based purchasing agreements with drug manufacturers until July 2022.
CMS posts final Hospital VBP Program adjustment factors for FY 2019
The Centers for Medicare & Medicaid Services today posted the final incentive payment adjustment factors for the fiscal year 2019 Hospital Value-Based Purchasing Program, which are being used to adjust base operating Medicare Severity Diagnosis-Related Group payments to eligible hospitals for discharges this year.
Perspective: Time to Make Stark Work for 21st Century Care
It’s been well established that the health care system is moving from a fee-for-service world to one where payers reward value over volume.
Report: Comprehensive Primary Care Model Reduced Hospitalizations, ED Visits
The Comprehensive Primary Care Initiative reduced hospitalizations and emergency department visits and improved primary care delivery for beneficiaries, but did not reduce Medicare spending enough to cover care management fees or significantly improve quality.
CMS Approves Medicaid Waivers; Clarifies Coverage of Certain Drugs
The Centers for Medicare & Medicaid Services today approved for Oklahoma the first state Medicaid plan amendment to allow supplemental rebate agreements involving value-based purchasing arrangements with drug makers.
AHE program to help health care leaders evaluate products, equipment
A new certificate program from the AHA’s Association for the Healthcare Environment will teach health care leaders who purchas
GAO issues interim report on Hospital VBP Program impact on payments, quality
Hospitals’ performance on most quality measures was improving before the Hospital Value-Based Purchasing program began in October 2012 and did not noticeably change during the first two years of th
CMS posts final Hospital VBP Program adjustment factors for FY 2016
The Centers for Medicare & Medicaid Services today posted the final incentive payment adjustment factors for the fiscal year 2016 Hospital Value-Based Purchasing Program, which are being used t
AHA urges CMS to suspend pain-related questions in Hospital VBP Program
The AHA today urged the Centers for Medicare & Medicaid Services to suspend the pain-related questions in the Value-Based Purchasing Program while the agency works to address concerns the quest
Study: Not all bonuses in 2015 Hospital VBP program associated with higher quality
Adding a spending per beneficiary measure to the Hospital Value-Based Purchasing Program in 2015 while decreasing the weight of the quality measures allowed some lower quality hospitals to receive