From the category archives:

Payment Reform

Thumbnail image for CO-OPs: A New Way for Providers to Innovate and Deliver Health Care

CO-OPs: A New Way for Providers to Innovate and Deliver Health Care

With state health insurance exchanges set to go live in 2014, states are working hard to develop their exchanges’ infrastructure and establish regulations for insurance [...]

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“Medical Loss Ratio” Rule Goes Into Effect, Giving Consumers over $1 Billion in Savings

August 1st was the deadline for health insurers to issue rebates or premium credits to consumers if the insurer didn’t spend at least 80 percent [...]

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Coordinating Care for Dual Eligible Beneficiaries: Overview of State Proposals

The consulting firm Avalere has conducted a study of 26 state plans to integrate the delivery of, and payment for, services for individuals who are [...]

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Overview: Proposed Federal Rules for Increased Medicaid Payment for Primary Care Providers

On Wednesday, May 9, 2012, the Department of Health and Human Services (HHS) released proposed language for implementing the Medicaid primary care rate increase under [...]

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HHS Issues Proposed Guidance on Medicaid Pay Bump for Primary Care Services

The Department of Health and Human Services has released a proposed rule outlining the approach it intends to take in implementing a temporary Medicaid physician [...]

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Are Accountable Care Organizations a Fad, or the Future? New National Council Resource Helps You Find Out

On October 20, 2011, the federal government announced final rules providing guidance on how Accountable Care Organizations should be structured. These final rules could create [...]

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CMS Announces New Coordinated Primary Care Initiative

The Centers for Medicare and Medicaid Services (CMS) announced Wednesday the launch of a new initiative to support comprehensive primary care and improve the coordination [...]

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Back to School Healthcare Reform Webinar Series

It’s September 2011. If you want to ace those Healthcare Reform SATs for admission to new payment and delivery systems by 2014, you must start [...]

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Dr. Karen Davis on “Smarter Ways to Pay for Healthcare”

As the ongoing debate over reducing federal spending has shown us, health care spending will be a target of efforts to cut the federal deficit, [...]

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Community Care Organizations (ACOs for the Rest of Us)

With all the recent talk going on about Accountable Care Organizations (ACOs), how do safety net organizations fit in? Dale Jarvis of Dale Jarvis and [...]

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