Managed Healthcare Executive December 2, 2019
Keith Loria

With an election year just about upon us, there are a number of changes coming from the current administration that are going to impact the managed care industry in 2020. Changes in allowable benefits, home health, hospice carve-ins, and new CPT codes for remote home monitoring are just a sample of these.

There are an additional set of fundamental changes coming from the administration affecting clinicians related to payment models. For example, earlier this year, CMS announced five new primary care payment models designed to incentivize the entire healthcare system to transition to value-based care, especially for patients with complex, chronic, and high-need conditions.

Here are eight policy changes that could make a huge impact in 2020.

1. Medicare for...

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicare, Patient / Consumer, Payment Models, Pricing / Spending, Provider, Regulations
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