Leveraging Payment Reforms For COVID-19 And Beyond: Recommendations For Medicare ACOs And CMS’s Interim Final Rule

Health Affairs May 29, 2020
Hannah L. Crook, Robert S. Saunders, William K. Bleser, Travis Broome, David Muhlestein, Mark B. McClellan

The COVID-19 pandemic has significantly challenged clinician practices, hospitals, and all health care delivery organizations. Many such organizations have scrambled to build new capabilities and shift workflows to test, trace, and manage COVID-19 as well as remotely manage chronic conditions for their non-COVID patients.

At the same time, health care delivery organizations are facing considerable financial struggles, with elective procedures and non-urgent office visits down by 70-80 percent in many practices. As a result, organizations receiving fee-for-service (FFS) payments have seen their revenues decline precipitously. This lack of capital affects their ability to adapt and respond to the pandemic.

The health care delivery organizations that have best been able to work through the pandemic have been those participating in more...

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