Medicare Payment Models
Expert articles and analysis related to medicare payment models.
AI Summary â Last 7 Days
CMS has proposed a major expansion of value-based payment in Medicare, most notably with the new CJR-X bundled payment model set to make episode-based payments for joint replacements mandatory for nearly all hospitals nationwide beginning in 2027, significantly intensifying the focus on hospital coordination with home health and skilled nursing providers (Skilled Nursing News, HFMA). This proposed policy was announced under the Trump administration, with Dr. Mehmet Oz serving as CMS Administrator and Abe Sutton as Deputy Administrator & Director of CMMI.
Related Articles
Statement on the FY 2027 Inpatient Prospective Payment System Proposed Rule
Premier remains deeply concerned that the proposed Medicare inpatient payment update does not adequately reflect hospitals' cost of providing care.
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MedPAC urged by AHA to scrutinize MA impacts on hospital and post-acute provider finances  American Hospital Association
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HFMA presents a detailed summary of the FY 2027 proposed rule updating the Medicare inpatient rehabilitation facility prospective payment system. The post FY 2027 Inpatient Rehabilitation Facility PPS...
UnitedHealth stock surges after Medicare Advantage rate boost
UnitedHealth stock surges after Medicare Advantage rate boost  AOL.com
Trump Administration Finalizes 2.48% Medicare Advantage Payment Hike For 2027, Sending Insurer Stocks Surging
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Medicare Advantage "Relief Rally": Humana and UnitedHealth Surge as CMS Finalizes 2.48% Rate Increase for 2027
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Medicare: Where does $1.1 trillion go â and where should it go?
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CMS Caves to Medicare Advantage Industry
CMS Caves to Medicare Advantage Industry  Center for Medicare Advocacy
Trump administration finalizes better-than-feared Medicare Advantage payment rate in boost to health insurers
Trump administration finalizes better-than-feared Medicare Advantage payment rate in boost to health insurers  Health Leaders Media
Jefferson Health sues Aetna over Medicare Advantage payment policy
Jefferson Health, which is part of Thomas Jefferson University, and Lehigh Valley Physicians Hospital Organization have sued Aetna over its policy on payment of Medicare Advantage claims.The lawsuit w...