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policy

A new Center for Medicare and Medicaid Innovation white paper outlines a strategy to advance health system transformation. The goal is to achieve equitable outcomes by driving accountable care, advancing health equity, supporting innovation, addressing affordability, and creating partnerships.

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institute

The fellowship aims to help physicians transform health care delivery systems, policies, and practices to improve the lives of disadvantaged populations.

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policy

CMS is seeking feedback on how to help states implement innovative payment, care delivery models consistent with MACRA's proposed Quality Payment Program.

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Essential Insights

As essential hospitals leaders, we all need to stay on top of the evolving landscape for Medicaid Section 1115 waivers. Medicaid waivers offer a key opportunity to make health care delivery more effective and efficient – and to reduce our uncompensated care burden. Consider our experience in Texas. Over the life of the Texas Health

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quality

Several members of America’s Essential Hospitals are among the participants selected for the Million Hearts Cardiovascular Disease Risk Reduction Model.

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institute

New brief from Essential Hospitals Institute focuses on clinical and process outcomes from DSRIP waiver work at Contra Costa Regional Medical Center in California and University Health System in Texas.

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quality

The webinars will feature representatives from CMS answering questions about the model. Instructions on how to submit questions will be included in the registration confirmation email.

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policy

The Federal Health IT Strategic Plan: 2015–2020, aims to improve health IT infrastructure, transform health care delivery, and improve individual and community health.

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quality

CMS has extended the deadline for the Million Hearts: CVD Risk Reduction Model due to high interest. The model will incentivize providers to target Medicare beneficiaries with the highest risk of CVD for patient-centered care.

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quality

The Million Hearts: CVD Risk Reduction Model will incentivize providers to calculate CVD risk for Medicare beneficiaries and target those with the highest risk for patient-centered care.

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institute

Institute researcher discusses the popular and up-and-coming movements in delivery system transformation and alternative payment models.

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institute

Articles focus on innovative waivers that support states in transforming delivery systems to improve access and quality of care. Another focus is Medicaid coverage in areas of crucial need, such as mental health care.

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policy

MACPAC's report to Congress touts potential of DSRIP programs to transform Medicaid reimbursement and improve health outcomes, also addresses the challenge and calls for clear and consistent federal guidance.

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policy

Annual release includes 2013 data related to the 100 most common diagnoses for Medicare patients requiring inpatient stays and 30 selected outpatient procedures.

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quality

The Million Hearts: CVD Risk Reduction Model will incentivize providers to calculate cardiovascular risk for eligible Medicare beneficiaries and target those with the highest risk for patient-centered care. Applications are due Sept. 4.

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policy

Roughly 48 percent of participating ACOs produced $121 million in total shared savings in 2013, with a net shared savings of $99 million

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quality

IOM recommended a set of 15 core measures to be used across federal quality reporting programs to reduce the administrative reporting burden, allow for nationwide comparisons, and more.

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policy

In an April 28 letter, the association urged CMS to adopt a holistic view of how payment mechanisms impact essential hospitals, including sustainable base payment rates, Medicaid waivers to address uncompensated care, and DSRIP waivers.

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webinar
policy

National impact assessment finds 95 percent of 119 studied quality measures improved during the 2006 to 2012 study period

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policy

The Oncology Care Model is a multipayer payment and care delivery model designed to encourage high quality cancer care.

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institute

The third in a series of waiver-related briefs, this research brief summarizes perspectives from hospital leaders in Massachusetts, California, and Texas.

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institute

Recent journal articles explore interventions to reduce readmissions, uncover barriers to recovery for vulnerable adults, decrease emergency department utilization, and more.

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policy

The opportunities come through two new comparative effectiveness research programs on improving health systems and addressing health and health care disparities. Letters of intent are due by Sept. 5.

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policy

Resources include a review of the latest research examining how and why Medicaid beneficiaries seek care in the ED, a scan of how individual states set payment rates and supplemental payments to hospitals, and a review of several states' approach to Medicaid payment and delivery system reform.

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policy

Take a deep dive of our latest policy brief on waiver-based Medicaid programs, which details how essential providers work with their state and the federal government to carry out sustainable, systemic delivery system changes.

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policy

The program is designed to support states as they develop and transition to innovative care and payment models.

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policy

CMS announced a second batch of prospective recipients for Health Care Innovation Awards (round 2). The 27 new recipients include four members of America’s Essential Hospitals. Awards will be used to reduce costs and improve care delivery models for Medicare, Medicaid, and CHIP patients.

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institute

Recent journal articles curated from Health Affairs and the New England Journal of Medicine highlight payment reform programs and strategies and the impact of socioeconomic status on readmissions.

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policy

America’s Essential Hospitals released a policy brief that discusses approaches to extending the reach of health care transformation through Medicaid waiver incentive programs.

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policy

Boston Medical Center has released an update to Project RED, their toolkit focused on discharge safety and reducing hospital readmissions. Included is a new chapter that provides guidance to hospitals on how to best integrate family caregivers into the discharge plan.

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policy

HHS announced recipients of Health Care Innovation Awards and a call for applications for the State Innovation Models Initiative. These programs were created through the Affordable Care Act to give stakeholders and states tools and flexibility to transform health care delivery system models.

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policy

CMS seeks input on models for specific procedures and complex care. These new payment and service delivery models would apply to specialty practitioner services provided in an outpatient setting.

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institute

Recent journal articles highlight important disaster preparedness, patient safety, and social issues affecting health care.

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webinar

An overview of existing delivery system reform incentive pools and similar models

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