Chief Healthcare Executive May 5, 2024
The rule is designed to bring more effective, more informed, and more transparent care, but much more must be done to redesign the nation’s healthcare system.
Roughly 100 years ago, Alfred Wegener postulated that the continents were not in fact fixed, but were actually moving. This hypothesis was confirmed as maps illustrated how the bulge in Brazil separated from the west coast of Africa.
Today, there are also slow but large movements in how CMS pays for healthcare. The “continental” division of CMS programs from just Medicare Fee for Service in 1965 into classic Medicare, Medicare Advantage, Medicaid and the Exchanges has generated multiple fault lines as well.
CMS must weave the dominating incentives in each of these payment programs...
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