From AIS's Value-Based Care News - Medicare’s Bundled Payments for Care Improvement (BPCI) initiative, which got off to a relatively slow start as providers initially balked at accepting risk, has gained significant traction, with nearly one-third of the original participants now taking risk on tens of thousands of care bundles. But despite that slow start, CMS was quick to take some of the lessons learned in its first two years of BPCI and implement them in its first proposed mandatory value-based payment arrangement: the Comprehensive Care for Joint Replacement (CCJR) initiative, unveiled in July (VBC 8/15, p. 1). Read more
From AIS's Value-Based Care News - After several years of debate on whether to include accountable care in the state’s Medicaid program, North Carolina lawmakers have approved a compromise Medicaid reform plan in which provider-led entities (PLEs) will co-exist with commercial insurers in a fully capitated system. Under the reforms, which still need approval from CMS, North Carolina’s Primary Care Case Management system will be phased out, and care management for most of the state’s 1.9 million… Read more
From AIS's Value-Based Care News - A new alliance in New Jersey is aiming to step outside the fee-for-service box by bringing together a handful of stakeholders united in their goal to keep members healthy while lowering the total cost of care. The OMNIA Health Alliance, which includes Horizon Blue Cross Blue Shield of New Jersey, six health systems and one medical group, is a “unique, first-of-its-kind statewide alliance…committed to radically altering how health care is… Read more
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