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Providers, payers see direct contracting's capitation as an important move to value-based care

Photo: Cecilie Arcurs/Getty Images Over the past several years, the big trend in healthcare has been to inch away from fee-for-servicereimbursement and toward value-based care, in which a providers reimbursement is tied more to clinical quality than to volume. The industry, policymakers and the federal government have attempted this shift through a number of legal and regulatory means, and one policy that has proven popular in this regard, among both providers and payers, is direct contracting....
United States Matthew Eirich Aisha Pittman Cecilie Arcurs Getty Valinda Rutledge David Pittman

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Don Crane announces he is leaving America's Physician Groups - State of Reform

Don Crane announces he is leaving America’s Physician Groups Emily Boerger | Jun 1, 2021 Share this: In an email sent Tuesday morning, America’s Physician Groups (APG) President and CEO Don Crane announced he will be leaving the association. Crane has led APG, which represents over 340 physician groups with approximately 195,000 physicians, for 21 years. In his email, Crane wrote: “It has been an honor and privilege to lead APG for the last 21 years, but the time to move on fe...
United States Emily Boerger Jun Don Crane Physician Groups ஒன்றுபட்டது மாநிலங்களில் தாதா கிரேன்

Alston & Bird Health Care Week in Review - May 2021 #3 | Alston & Bird

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in healthcare regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies, and analyses; and other health policy news. Week in Review Highlight of the Week: This week, the Senate Finance Committee discussed making permanent COVID-19 flexibilities, including those related to telehealth. See the hearing and other news below. I.Regulations, Notices &...
United States Kisha Davis Narayana Murali Jessica Farb Kimberly Glas David Skorton

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

(Photo by Jose Luis Pelaez\Getty Images) Citing rushed implementation, unanswered questions and potential negative consequences to patient care, 11 healthcare organizations are calling on the Biden administration to delay and make changes to mandated quality measure reporting for accountable care organizations. The healthcare organizations, including the American Hospital Association and the American Medical Association, sent a letter to Department of Health and Human Services Secretary Xavier ...
United States Clif Gaus Xavier Becerra Jose Luis Pelaez Getty National Association American Academy Of Family Physicians

Humana collaborating with providers to offer value-based care for those with original Medicare

Photo by Cavan Images/Getty Images Health insurer Humana will begin contracting with healthcare providers to offer coordinated care for patients who are beneficiaries of original Medicare. Humana is known for offering Medicare Advantage plans. The new program will be facilitated through a value-based model called the Direct Contracting Model, in which the Humana Direct Contracting Entity will operate as Humana Care Solutions. The goal of the model is to improve care quality, health outcomes and...
United States Elizabeth Fowler Centers For Medicare American Academy Of Home Care Medicine Innovation Center Biden Administration

Providers press Biden Administration for second chance at Direct Contracting model

(Photo by Sam Edwards/Getty Images) Dozens of provider groups, including Americas Physician Groups, American Academy of Home Care Medicine and VillageMD, have signed onto a letter imploring the Biden Administration to open up one more chance for providers to sign up for the Direct Contracting Payment model. In the letter to Elizabeth Fowler, deputy administrator and director of the Center for Medicare and Medicaid Innovation, providers lamented the fact that while the Centers for Medicare and M...
Puerto Rico United States District Of Columbia Elizabeth Fowler Sam Edwards Getty Savings Program

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