Healthcare DIVE June 16, 2020
Shannon Muchmore

Dive Brief:

  • Medicare Advantage and accountable care organizations could be vehicles for much needed value-based payment reform in Medicare, but not without better aligned incentives and improved quality assessment, according to the Medicare Payment Advisory Commission’s June report to Congress released Monday.
  • For ACOs in the Medicare Shared Savings Program, the commission suggests HHS use national provider identifiers instead of taxpayer identification numbers. Using TINs could grant some ACOs unwarranted shared savings through favorable patient selection, MedPAC concluded.
  • In its separate June report to Congress, the Medicaid and Children’s Health Insurance Program Payment and Access Commission suggests lawmakers create a special enrollment period for people dually eligible for Medicaid and Medicare and allocate more funds for states to implement...

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Topics: ACO (Accountable Care), CMS, Congress / White House, Govt Agencies, Insurance, Medicare Advantage, Payer, Payment Models, Provider, Value Based
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