Blog

CMS recently issued a proposed rule to roll back the scope of the Comprehensive Care for Joint Replacement Model (CJR) and eliminate the Episodic Payment Models (EPM) altogether. Both initiatives test bundled payment models, with the CJR launching in 2016 to improve hip and knee replacement care, and the EPM scheduled to begin in early 2018 with a focus on cardiac conditions. The announcement came as a shock to many observers, who were surprised at the extent of the proposed changes, and some suggested it was part of a larger goal of the Trump Administration to impede the growth of value-based care. While most coverage has rightly pointed out that HHS Secretary Tom Price has criticized the ACA and bundled payment models, players in the healthcare industry have also expressed significant concerns over the rapid growth of mandatory programs and the ability of healthcare providers to adapt to the changes. The proposal to scale back certain CMS initiatives is as much a reflection of the disagreements among providers about the pace of healthcare reform as it could be an ideological priority of the current administration.

Read More

U.S. Epilepsy Rates Continue to Rise

August 16, 2017 BY Alanna Moriarty

U.S. Epilepsy Rates Continue to Rise

Epilepsy rates are rising in children and adults according to a new report from the CDC. The percentage of the U.S. population diagnosed with epilepsy rose from 0.8% in 2011 to 1.2% in 2015, totaling over 3 million adults and approximately 0.5 million children.

Read More

The Unique Struggle of Academic Medical Centers

August 15, 2017 BY Definitive Healthcare

No sector of the healthcare industry has been spared from the disruptive effects of healthcare reform over the past several years, but academic medical centers have often been singled out as particularly vulnerable to the nationwide changes in health delivery. Academic medical centers (AMCs) not only tend to serve high-need communities, but also prioritize education and research, initiatives that can complicate a hospital’s overall mission and in some cases represent significant costs. Definitive Healthcare data shows that AMCs face some disadvantages, but new strategies may be able to help them overcome them.

Read More

CMS Proposes Joint Replacement Coverage at ASCs

August 14, 2017 BY Alanna Moriarty

CMS announced on August 5 that they are considering whether to provide coverage for hip and knee replacement surgeries at outpatient surgery centers.

Read More
CPC Plus Encourages Improved Care Quality and Access for Medicare Patients

CMS has implemented the second iteration of their Comprehensive Primary Care plan, dubbed Comprehensive Primary Care Plus (CPC+), in January.

Read More