In Part one of this two-part post, we explored the reasons for surging growth and profits in the Medicare Advantage (MA) program and the dynamics, largely related to risk-coding games, that make MA a ...

Participants, supporters, and opponents weigh in on the role of Medicare Advantage subsidiaries as program design evolves. Direct contracting (DC) is an interesting name for a CMS model that permits ...

Organizations in a discontinued Medicare accountable care model saved the program $372 million in 2022, more than five times the prior year, according to recent data from the CMS. Direct contracting ...

Organizations’ net savings in the first year of a Medicare accountable care model varied widely, spotlighting the difficulties of delivering value-based care, where just a few sick patients or a ...

The Direct Contracting Model (the “Model”) was designed by the CMS Innovation Center (CMMI) as the next evolution in risk sharing arrangements to produce value and high-quality healthcare. The Model ...

The Direct Contracting Model saved Medicare $70 million in 2021 as the Biden administration plans a major overhaul to the value-based care program next year. Recently released data from the Centers ...

JUPITER, Fla.--(BUSINESS WIRE)--ilumed improved care for over 24,000 Medicare beneficiaries in Florida, Texas, New Jersey, and Kentucky while reducing costs, achieving a 100% quality score, and ...

Last April, the Centers for Medicare and Medicaid Service (CMS) unveiled several new payment models designed to help transform primary care by reimbursing providers for health outcomes rather than the ...

There is a looming problem with Medicare. It is called direct contracting, a program being pursued by the Biden administration. It has received little coverage in the media and no congressional ...

Every year on July 30, advocates across the nation bake cakes and hold rallies to celebrate the anniversary of Medicare, the popular federal program established in 1965 to provide health care to ...

As we get older birthdays seem to be less a cause for celebration than a reminder of lost youth and increasing ailments and limitations. As a family practitioner in Giles County I learned that for ...