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policy

CMS on Aug. 29 finalized its decision to delay indefinitely implementation of the Radiation Oncology Model, which was scheduled to start Jan. 1, 2023.

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policy

President Joe Biden signed a $1.5 trillion fiscal year 2022 spending package; he already signed a four-day continuing resolution to provide time for the omnibus spending measure to move forward. 

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policy

In a new white paper, America's Essential Hospitals discusses essential hospitals' role in value-based payment models and makes recommendations to the Center for Medicare and Medicaid Innovation on improving equity through broader model participation.

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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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policy

Managed care organizations can participate in direct contracting for their populations dually eligible for Medicare and Medicaid. The model builds on direct contracting opportunities that test risk-sharing arrangements to reduce Medicare expenditures while preserving or enhancing quality of care.

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policy

The Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) finalized rules in conjunction with HHS' regulatory sprint to coordinated care. The OIG rule modifies safe harbor protections; CMS’ rule targets undue burden of the physician self-referral law, or Stark law.

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policy

The proposed rules seek to eliminate barriers to promoting care coordination under current fraud and abuse laws; comments are due to the agencies Dec. 31.

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policy

To facilitate multi-payer alignment for ambulance services, the Center for Medicare and Medicaid Innovation will provide an interactive learning system with targeted learning opportunities for state Medicaid programs.

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quality

The Office of the Assistant Secretary for Preparedness and Response initiative seeks to harness cutting-edge technologies to support emergency response and recovery. It will kick off with an innovation day event, Aug. 7–8, to engage with stakeholders.

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policy

The two mandatory payment models will test prospective episode-based payments for radiation oncology therapy and end-stage renal disease treatment.

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policy

Providers interested in the professional or global options under the new Primary Cares Initiative must submit a nonbinding letter of intent by Aug. 2.

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policy

In a new request for information, the agency seeks ideas for innovative programs and waiver concepts states could consider in developing Section 1332 waivers. The request follows October 2018 guidance aimed at increasing state flexibility.

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policy

The Primary Cares Initiative comprises five new voluntary payment model options under two paths. The new models build on the experience of the Medicare Shared Savings Program and Next Generation Accountable Care Organization model.

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quality

The new Care Coordination Toolkit showcases the work of accountable care organizations (ACOs) participating in the Medicare Shared Savings Program and Next Generation ACO Model. The agency also released a set of case studies describing innovation ACO initiatives.

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policy

The Maternal Opioid Misuse model will last five years and support the integration of clinical care with other services critical for health, well-being, and recovery for pregnant and postpartum Medicaid beneficiaries.

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policy

Senators left Washington earlier than expected to campaign for midterm elections after confirming 15 federal judicial nominees and failing to overturn a regulation expanding short-term insurance plans.

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Essential Insights

Front-line staff engagement, patient empowerment, and collaboration were key themes in our VITAL2018 sessions focused on innovation and adaptation.

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Essential Insights

More than 300 hospital and health system leaders came together in San Francisco for three days to foster their shared mission to champion excellence in health care for all.

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policy

The Innovation Accelerator Program's March 26 webinar will focus on administrative and regulatory barriers to physical and mental health integration in the Medicaid program.

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institute

Henry Ford Health System, in Detroit, used electronic health records to decrease venous thromboembolism and improve preventive care, saving $1.44 million in direct costs and up to $3 million systemwide annually.

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policy

The Centers for Medicare & Medicaid Services is giving up to 10 states the opportunity to participate in the program to design, develop, and implement value-based payment approaches.

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policy

The Centers for Medicare & Medicaid Services will host an information session and a series of four webinars in the coming weeks to provide information on new opportunities for states.

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policy

In response to the request for information, the association encouraged flexibility and a focus on hospitals treating high numbers of complex patients.

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policy

CMS is seeking broad feedback on a new direction for the Centers for Medicare & Medicaid Innovation, with increased emphasis on patient-centered care and market-based reforms.

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policy

The decision extends by five years the state's demonstration of a capitated Medicaid managed care program and a low-income pool to provide support for the safety net.

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policy

This is the second Section 1332 State Innovation Waiver to receive approval; Alaska is pursuing the waiver to stabilize the state's individual health care market.

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policy

The webinar on June 28 will focus on the Medicaid Innovation Accelerator Program's Reducing Substance Use Disorders program area.

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policy

States have until June 12 to complete an expression of interest form for the Medicaid Innovation Accelerator Program track.

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policy

The new checklist tool helps states compile the necessary documents to apply to waive ACA provisions and pursue alternative reforms.

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quality

The challenge aims to promote innovation using the National Health Security Preparedness Index; submissions are due July 31.

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policy

Over a five-year period, CMS will test the three-track AHC model, which aims to support health-related social needs of Medicare and Medicaid beneficiaries.

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policy

A series of forums will provide information on the Next Generation ACO Model; a separate CMS webinar will outline the Medicare ACO Track 1+ Model.

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quality

University of California-San Diego researchers have found a way to detect harmful chemicals in a blood sample in mere hours, with 99 percent accuracy.

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quality

Under the “Better Way to Live” program, 62 “alternative level of care” patients have been successfully transitioned to a post–acute care facility.

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policy

Hawaii is the first state to receive approval for a Section 1332 waiver, and will be allowed to close its Small Business Health Options Program for five years.

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policy

The two new Beneficiary Engagement and Incentives models test different shared decision-making approaches designed to increase patient engagement.

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policy

It outlines factors stakeholders should focus on when designing alternative payment models, including type to propose, how to measure improvements, and more.

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Essential Insights

Pokémon Go, the augmented-reality game, has helped pediatric patients at Seattle's Harborview Medical Center recover from burn injuries.

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quality

Special Innovation Project grants will be awarded to 28 partnerships with QIN-QIOs to support and scale quality improvement projects. Projects should aim to provide Medicare beneficiaries with better care, better health, and greater value.

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quality

Surgeons and medical residents at The University of Kansas Hospital can use MRI or CT scan data to print replicas of patients’ surgical sites.

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quality

Einstein Medical Center first in Philadelphia to use new device to detect cancer cells during lumpectomies, reducing the risk of repeat operations by up to 50 percent.

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quality

In September 2015, the University of Texas Medical Branch opened the nation’s first medical makerspace, a do-it-yourself area for nurses to brainstorm and invent solutions for better patient care.

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quality

Detroit hospital among first in nation to deploy state-of-the-art BrightMatter brain surgery technology, which will make possible operations that previously were too risky to perform.

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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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policy

Planned Parenthood remains an issue in government funding. Congress considers hospital bills, Medicare Part B premiums, medical innovation, health care competition, and Medicaid fraud and abuse, vows to focus on mental health.

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policy

Plans must be budget-neutral and cover as many people as traditional ACA reforms. With these waivers, states may forgo certain ACA provisions including the marketplaces and individual mandate.

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policy

The Senate takes up the House-passed budget resolution. Both the House and Senate are focused on medical innovation as the next major health push.

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policy

Senate HELP Committee to examine changes that could improve FDA process without compromising safety

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