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Direct contracting model pause leaves healthcare in limbo - Vimarsana News

Direct contracting model pause leaves healthcare in limbo

Modern Healthcare Illustration / Getty Images A former senior Trump administration official lambasted the decision, calling it "a big blow to value-based care." While some healthcare organizations forged ahead with the GPDC model despite the pandemic, others held off until they weathered the storm. CMMI had told interested organizations that they could join the model after the pandemic ended, so many of them decided to wait to apply. Now many would-be participants are in limbo, as the agency decides the fate of the model or its possible replacement. The uncertainty has created widespread cons...

CMS extends joint replacement model for three years - Vimarsana News

CMS extends joint replacement model for three years

CMS extends joint replacement model for three years Getty Images/Science Photo Libra CMS' Center for Medicare and Medicaid Innovation on Thursday signed off on a three-year extension of the Comprehensive Care for Joint Replacement model. It will now last through the end of 2024. The final rule changes the definition of an episode to include outpatient hip and knee replacements, modifies how the agency calculates target prices and reduces the number of reconciliation periods from two to one. It also makes changes to beneficiary notice requirements, gainsharing caps and the appeals process. Reg...

UK HealthCare's Multiple Sclerosis Team Earns Certification as Comprehensive Care Center - Vimarsana News

UK HealthCare's Multiple Sclerosis Team Earns Certification as Comprehensive Care Center

of LEXINGTON, Ky. (April 14, 2021) — UK HealthCare’s Multiple Sclerosis (MS) Center, a part of the Kentucky Neuroscience Institute, is celebrating one of its biggest achievements since it was created about three decades ago. The MS Center is now recognized as a Center for Comprehensive Care by the National Multiple Sclerosis Society. To achieve this status a center must address the needs of those living with MS by coordinating multi-disciplinary care, from medical, psycho-social and rehabilitation services, to provide exceptional care. “Being called a Comprehensive MS Care Center impl...

Source: uky.edu
Medicaid MCOs covering dual-eligibles to join direct contracting - Vimarsana News

Medicaid MCOs covering dual-eligibles to join direct contracting

Medicaid MCOs covering dual-eligibles to join direct contracting Shot of a senior man looking out the window at home CMS' Center for Medicare and Medicaid Innovation will allow Medicaid managed care organizations serving beneficiaries dually eligible for Medicaid and Medicare to take part in its new direct contracting model, the agency said Thursday. It's the first payment model to enable Medicaid MCOs to coordinate and manage care for beneficiaries enrolled in both Medicaid managed care and Medicare fee-for-service coverage, according to CMMI. The agency wants to encourage Medicaid MCOs to c...