Managed Healthcare Executive June 12, 2023
Alternative payment models are still coming into focus, but so far, they haven’t lived up to the high expectations.
The CMS Innovation Center has launched more than 50 alternative payment models (APMs) since it was established in 2010 as part of the Affordable Care Act. The models have involved approximately 28 million patients and half a million providers and plans, and all signs point to expanding the concept. The CMS Innovation Center announced in 2021 that it wanted every Medicare member with Part A and B coverage to be in a healthcare relationship with accountability for quality and total cost of care by 2030.
It’s not just government payers. Kaiser Permanente and Geisinger Health recently made news when...
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