Senior Housing News November 27, 2023
Jack Silverstein

By 2025, Centers for Medicare and Medicaid Services (CMS) wants to transition 50% of commercial and Medicaid contracts to a value-based model. By 2030, CMS wants 100% of Medicare and a majority of Medicaid recipients to be enrolled in VBC.1 That’s just over six years away, and comes the year after another significant milestone that is reshaping senior care: by 2029, every Baby Boomer will be at least 65 years old.

VBC models prioritize quality of care over quantity and focus on health outcomes. Take hospitalizations, for instance. An AL resident’s risk of hospitalization ranges from 25% to 61%.2,3 Residents also experience twice as many hospitalizations and deaths as their independent living counterparts during the first year of stay, and...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicaid, Medicare, Payment Models, Provider, Value Based
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