Value-Based Payment

Value-Based Payment CMS Publishes Final Regulations for Joint Replacement Bundled Payment Model

The final rule, which mandates bundled payment arrangements in 14 counties in NYS, offers opportunities for shared savings, as well as shared recoupments, among hospitals and post-acute care providers and provides for waivers of the SNF 3-day rule and certain telehealth requirements.

8 years ago

Value-Based Payment Final SNF PPS Rule for FY 2016: LeadingAge NY issues analysis of the SNF PPS final rule, including 2016 Medicare Part A rates and new value-based payment and quality/staffing reporting programs.
8 years ago

Value-Based Payment CMS Proposes Mandatory Hip and Knee Replacement Bundles in 14 New York Counties: As of January 2016, hospitals in the specified counties would be responsible for the total cost and quality of hip and knee surgeries, including inpatient, and post-acute care for 90 days after discharge.
8 years ago

Value-Based Payment CMS Announces "Next Generation" ACO with Benefit Enhancements: The initiative builds on CMS's announcement of its intent to move the health system towards payment based on quality rather than quality.
9 years ago

Value-Based Payment LeadingAge NY Comments on Value-Based Payment Alignment Paper: Letter emphasizes the need to engage long-term care providers and plans in aligning Medicare and Medicaid.
8 years ago

Value-Based Payment CMS Approves VBP Roadmap; Subcommittee Work Begins: State receives federal approval of Medicaid value-based payment plan.
8 years ago

Value-Based Payment New Federal ACO Regulations Waive 3-Day Stay Requirement; Add a Risk-Sharing Arrangement: The new regulations create an additional two-sided risk-sharing track with an enhanced savings rate, and provide ACOs in the new track with the ability to seek a waiver of the three-day hospital stay requirement for Medicare coverage of nursing home care.
9 years ago

Value-Based Payment Timeline Set for Shifting Medicare Payments to Value-Based Arrangements: Under the plan, by the end of 2016, 30 percent of Medicare FFS payments would be made through alternative payment models, and 85 percent would be tied to quality.
9 years ago