What value-based payment changes are coming at the federal level?

HFMA April 9, 2019
Rich Daly

• CMMI plans to continue to use mandatory payment models in cases of “widespread selection bias.”
• The next generation of value-based payment models aims to provide a positive cost-benefit result.
• New models will be inspired by Medicare Advantage plans, many of which use capitated payment.

Expect a post-acute care bundle, rural-focused alternative payments, value-based payment approaches inspired by Medicare Advantage (MA), and additional mandatory models from the federal government, a top official said this week.

Adam Boehler, director of the Center for Medicare and Medicaid Innovation (CMMI), told attendees at the American Hospital Association’s annual membership meeting in Washington, D.C., that he learned a series of lessons in his first year in the position.

In terms of finding success...

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