St. Peter's Health Partners’ Post

We founding this interesting: A recent blog by Health Management Associates investigates the impact of new entities assuming accountability for cost and quality of care to understand the market growth and their role in advancing accountable care in Medicare, Medicaid and the healthcare sector: https://ow.ly/Jmk850QEg8A

CMS Needs to Do a Better Job With Value-Based Care, Experts Tell House Panel — The program has "gotten off track and needs a thorough reevaluation and reformulation," doc says Value-based care -- in which medical practices are paid based on the value of their care, not on volume -- is a good idea but the Centers for Medicare & Medicaid Services (CMS) need to improve its implementation, doctors and a healthcare executive told members of the House Ways & Means Health Subcommittee. https://lnkd.in/er4PN6Hi

Learn more about how Peak Health and WVU Medicine are working to improve the health of West Virginia seniors with Peak Advantage and geriatric experts like Dr. Navia. Great work Ben Gerber!

Timely access to high-quality primary care is important for public health - but it also is all too often not equitable. That is why the Centers for Medicare & Medicaid Services #CMS announced a new model - making sure primary care providers in eligible Accountable Care Organizations (ACOs) can treat people with Medicare using innovative, team-based, person-centered proactive care - brining high quality care closer to or into communities and into the home of patients. https://lnkd.in/eKp7TvPt

A slew of new hospital price transparency requirements enacted by Centers for Medicare & Medicaid Services go into effect today (July 1), marking another big step in the journey toward making healthcare more transparent in the United States. We at Finestra created a simple chart to share what new requirements hospitals are now required to follow. Hospitals should view this as an opportunity to step up for their patients and tout their transparency as a commitment to better care. We look forward to continuing our engagement with government agencies and health systems to ultimately create a better care ecosystem for all parties involved.

💡 NEW BLOG💡https://lnkd.in/g3sX3uYv In the latest updates from the U.S Centers for Medicare & Medicaid Services (CMS) for FY 2025 there are critical regulatory changes proposed that will affect hospice providers, patients, and our healthcare system. These updates include potential negative impacts on operational budgets due to payment adjustments, alongside other changes geared toward enhancing patient outcomes. We’ve curated key insights from this proposed rule to offer guidance on how our solutions can help organizations navigate and prepare for these impending shifts.  Read the Blog to learn more: https://lnkd.in/g3sX3uYv

Last week, Papa released new data showing Medicare Advantage (MA) members who participated in our companion care program experienced a 9% reduction in medical costs. This follows prior claims studies that found a 19% and 33% reduction in total cost of care among socially isolated MA members and Medicaid emergency department high-utilizers, respectively, who participated in the Papa program. The takeaway: Something as simple as a friend can dramatically reduce healthcare spending and change how people use our healthcare system 💙 Check out the growing body of evidence validating Papa's companion care model in a new blog post here: https://lnkd.in/e5M-Ndkj

Get the Fact Sheet - Centers for Medicare & Medicaid Services (CMS), releases proposed new policies for calendar year (CY) 2025 Medicare Physician Fee Schedule (PFS). The proposed rule aims to advance health equity and support whole-person care with several specific sections pertaining to FQHC, and RHC. #CMS #2025MedicareFeeSchedule #2025PhysicianFeeSchedule #2025ProposedRule #Medicare #FQHC #RHC

Attention Home Health providers! The Centers for Medicare & Medicaid Services (CMS) released an update today effective June 1, 2024, extending the Review Choice Demonstration for Home Health Services for an additional 5 years. The demonstration will be continuing in the current demonstration states of 𝗜𝗹𝗹𝗶𝗻𝗼𝗶𝘀, 𝗢𝗵𝗶𝗼, 𝗧𝗲𝘅𝗮𝘀, 𝗡𝗼𝗿𝘁𝗵 𝗖𝗮𝗿𝗼𝗹𝗶𝗻𝗮, 𝗙𝗹𝗼𝗿𝗶𝗱𝗮 and 𝗢𝗸𝗹𝗮𝗵𝗼𝗺𝗮. As part of the extension, CMS is removing Choice 3: Minimal Review with 25% Payment Reduction from the initial choice selections. Read the full update from CMS to learn how this will impact your agency: https://okt.to/s4cmyz

Prior authorization (PA) is costly, inefficient and responsible for patient care delays. The existing processes create significant administrative burdens. On January 17th, 2024, The Centers for Medicare and Medicaid (CMS) released its final rule on Prior Authorization (CMS-0057-F). It contains 3 big changes. Keep in mind that CMS rules only apply to government-regulated health plans. Those plans include: Medicare Advantage…... https://lnkd.in/gv_eM4aj