Tags » Health Care Reform: Payment Reform

Centers for Medicare and Medicaid Services: Fact Sheet on MACRA Proposed Regulations

The Centers for Medicare and Medicaid Services has published this useful summary of its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA): 9 more words

Health Care Reform

Centers for Medicare and Medicaid Services: Proposed Rule to Implement Medicare Access and CHIP Reauthorization Act (MACRA)

The Centers for Medicare and Medicaid Services (CMS) has published its much-anticipated proposed rule to implement the Medicare Access and Childrens’ Health Insurance Program (CHIP) Reauthorization Act (MACRA), which replaces the Sustainable Growth Rate formula for how fee-for-service or traditional Medicare pays physicians and other clinicians. 1,041 more words

Health Care Reform

RWJF-Health Affairs Policy Brief: Medicare's New Physician Payment System

This Health Affairs-Robert Wood Johnson Foundation policy brief describes the key issues  for implementing the new Medicare physician payment system under the 2015 Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA). 894 more words

Health Care Reform

California Primary Care Association: California Alternative Payment Methodology Pilot

The California Primary Care Association (CPCA) has been working in partnership with the California Association of Public Hospitals and Health Systems to develop a three-year pilot program for testing alternative payment methodologies (APMs) at California’s Federally Qualified  Health Centers (FQHCs) through California’s Medicaid program, Medi-Cal.  251 more words

Health Care Reform

Covered California: Quality Improvement Requirements for Qualified Health Plans for 2017-2019

Covered California, the state health insurance marketplace, has adopted strengthened quality reporting and improvement requirements for qualified health plans (QHPs) seeking to sell health insurance through the California marketplace for 2017 through 2019.   338 more words

Health Care Reform

Insure the Uninsured Project: Transforming the Health Care Marketplace by Promoting Value

This issue brief from the Insure the Uninsured Project focuses on the role of California’s health insurance marketplace, Covered California, in advancing health care payment and delivery system reform towards value-based payments.   201 more words

Health Care Reform

Insure the Uninsured Project: A Vision for Payment and Delivery System Reform in California

This policy brief from the Insure the Uninsured Project (ITUP) describes a vision for implementation of payment and delivery system reform in California, especially with the continued success of California’s health insurance marketplace and expanded Medicaid in decreasing the number of uninsured Californians.   289 more words

Health Care Reform