CMMI Selects Participants to Prevent Hospital Admissions for NF Residents

 

The Center for Medicare and Medicaid Innovation (CMMI) announced on September 27, 2012 that it has selected seven organizations to participate as "enhanced care and coordination" providers under its "Initiative to Reduce Avoidable Hospitalizations Among Nursing Facilility Residents." [More]

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Categories:Care Coordination | Demonstration Projects

 

CMS Proposes Changes in Medicare Physician Reimbursement

 

The Centers for Medicare and Medicaid Services (CMS) released a draft proposed rule on July 6 setting forth changes in Medicare fee-for-service payments for physician services, including a new post-discharge transitional care payment for managing a patient's care after discharge from inpatient hospital care, a skilled nursing facility, outpatient hospital observation, or a community mental health center. [More]

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Categories:Care Coordination | CMS Regulations | MedPAC | Payment Reform

 

CMS Finalizes Agreements with Multi-Payer Participants

 

The Centers for Medicare and Medicaid Services (CMS) announced on June 6 that it has finalized memoranda of understanding with 43 health care payers under the Multi-Payer Comprehensive Primary Care (CPC) demonstration project authorized under section 3021 of the Affordable Care Act (ACA). [More]

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Categories:Care Coordination | Federal Health Care Reform

 

Medicaid and Chronic Disease Experts Report to Congress

 

On May 31, a distinguished panel of Medicaid and chronic disease experts briefed Congress on opportunities to achieve cost savings in Medicaid through innovative strategies to prevent and manage chronic diseases such as diabetes, asthma, hypertension, and behavioral health conditions. [More]

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Categories:Care Coordination

 

States Move Forward on Plans for Medicare/Medicaid Dual Eligibles

 

The Centers for Medicare and Medicaid Services has awarded design contracts to fifteen states seeking to participate in pilot programs to test new payment and service delivery models for Medicare/Medicaid "dual eligibles." [More]

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Categories:Care Coordination | Demonstration Projects | Dual Eligibles | Federal Health Care Reform

 

CMS Approves Multi-Payer Primary Care Applications

 

The Centers for Medicare and Medicaid Services (CMS) announced on April 11 that it has accepted applications from state Medicaid agencies, other public payers, and private health insurance plans to participate in the Multi-Payer Comprehensive Primary Care (CPC) demonstration project authorized under section 3021 of the Affordable Care Act (ACA). [More]

 

Oregon Enacts Care Coordination Legislation

 

Governor John Kitzhaber signed legislation (S.B. 1580) on March 2 authorizing additional steps to implement regional coordinated care organizations (CCOs) throughout Oregon for 600,000 Medicaid recipients under the Oregon Health Plan. [More]

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Categories:State Health Care Reform | Care Coordination

 

CBO Issues Report on Care Management and Value-Based Purchasing

 

The Congressional Budget Office (CBO) released a report on January 18 outlining key findings and lessons learned from six disease management/care coordination projects and four value-based purchasing projects under Medicare research and demonstration authority, [More]

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Categories:Demonstration Projects | Payment Reform | Care Coordination