“Medicare beneficiaries deserve coverage that puts their health care needs above insurers’ bottom lines, but time and time again we see proof that Medicare Advantage plans play games to delay and deny patient care. FAH thanks Chairman Wyden, along with Ranking Members Neal and Pallone, for their leadership protecting patient access to care and we urge CMS to hold MA plans accountable.” FAH continues to call attention to Medicare Advantage plans' alarming tactics to delay and deny patient care. We join Chairman Wyden, along with Ranking Members Neal and Pallone, in urging CMS to hold MA plans accountable. https://lnkd.in/eGkVqnP3
Federation of American Hospitals’ Post
More Relevant Posts
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With news of CMS Star Rating recalculations, many Medicare Advantage plans are revisiting their supplemental benefit packages. Investing in programs that drive health outcomes, improve the member experience, and reduce total cost of care is a top priority—so let us help get you there. Driven by rigorous research, numerous studies demonstrate Papa’s clear value and ROI. Member cohorts using Papa are associated with a: 📉 19% reduction in total cost of care 🏥 20% reduction in emergency department visits 🚑 18% reduction in inpatient hospital admissions 🌟 6% higher composite care gap compliance rate, meaning Papa members attended more Stars-related screenings and appointments than matched non-Papa members. People need people, especially when it comes to their health. Discover how our core companion care solution, combined with configurable impact programs like #StarEnhancement and #SDoHNavigation, can make a significant difference for your members. 🔗 Proven Impact of Companion Care: https://bit.ly/3KkAC4H
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#FlashbackFriday: On May 16, 2007, #AHRQ published a new landmark Federal handbook, Registries for Evaluating Patient Outcomes: A User's Guide. The guide, co-funded by AHRQ and CMS (Centers for Medicare & Medicaid Services) helps researchers and others use patient registries to evaluate the real-life impact of health care treatments. The guide demonstrates how learning from the experience of millions of patients and clinicians in day-to-day practice uncovers information about the effectiveness of treatment options. https://lnkd.in/eeUSVK2e
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🚨 Breaking News for Value-Based Care! 🚨 The CY 2025 Medicare Physician Fee Schedule Final Rule introduces game-changing updates to the Medicare Shared Savings Program (MSSP). 💡 With these updates, are we finally leveling the playing field for underserved populations, or are the barriers to participation still too high for many ACOs? 👉 Let’s discuss! We’d love to hear your take! How do you see these changes impacting your organization or the communities you serve? #ValueBasedCare #Medicare #HealthEquity #ACOs #HealthcareInnovation
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Continue incentives to move toward value. Promote adoption of models that prove cost effective and high outcomes for patients. Healthcare is at a crossroads to whether value is fully adopted across health systems. CMS incentives are critical for this adoption. Appreciative of the hard work on this topic.
Value-based care improves health and reduces costs, but physicians and other clinicians need continued support to transition to these patient-first models. The Value in Health Care Act would support healthcare’s transition to value by: 1) Renewing Medicare’s value-based care incentive for physicians and other clinicians 2) Adjusting criteria to receive the incentive so more rural, underserved, primary care, and specialty practices can benefit from this critical support 3) Granting the Centers for Medicare & Medicaid Services more flexibility and tools to help physicians and other clinicians join and remain in value-based models Hear more from Rep. Suzan DelBene, one of the bill’s co-sponsors, at the Alliance’s recent Value Week briefing ⬇ and read the briefing recap: https://bit.ly/3wvzyY3 #ValueBasedCare #PatientFirstCare
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Brag Moment: Advanced Health Outcomes' CEO, Dr. Sharon Hibay, was reaccepted to the Mathematica and Centers for Medicare & Medicaid Services CCSQ Hospital Harm Technical Expert Panel (TEP) for measure development. Such a great way to give back to our healthcare industry, generating measures that genuinely drive care transformation, outcomes, and just accountability. #MeasureGeek #PatientSafety #ReduceHospitalHarm
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Are you a hospital serving Medicare and Medicaid in Vermont, Maryland, Connecticut, or Hawaii? CMS just announced that these are the first states to be accepted to participate into the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. The blog link below provides information about this initiative and how to prepare for success, written by COPE Health Solutions leaders Steven Hefter, Lindsey Patton and Allen Miller. Don’t miss out – read more here: https://lnkd.in/g9zi29AJ #HealthcareInnovation #ValueBasedCare #GlobalBudget #AHEADModel #CMS
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As patient advocates through chronic care management, it is important that we stay abreast of new developments within Medicare so that we can inform our patients and guide them in making their best healthcare decisions. Last week, CMS released additional information regarding the MPPP. Please read the article linked below for complete details. https://lnkd.in/e7wGY544 #medicaremonday #esrunhealth #weareharris #ccm #rtm #chroniccaremanagement #patientadvocates #remotenurse
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Humans are intricate and multifaceted, demanding care that addresses their complex needs through nuanced strategies. Effective healthcare goes beyond mere diagnosis and treatment; it requires a multidimensional approach that considers the whole person. As it stands, Medicare and Medicaid are falling short of meeting these needs. In this clip from our episode titled "Challenging Medicare Instability with Whole-Person Care," Mike Cantor, MD, JD sheds light on the challenges faced by current care systems and explores how whole-person care models present opportunities to address these gaps. #healthcarepodcast #healthcare #medicare #federalspending #usbudget #healthcarecosts #wholepersoncare
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Are you a hospital serving Medicare and Medicaid in Vermont, Maryland, Connecticut, or Hawaii? CMS just announced that these are the first states to be accepted to participate into the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. This article provides information about this initiative and how to prepare for success, written by COPE Health Solutions leaders Steven Hefter, Lindsey Patton and Allen Miller. Don’t miss out – read more here: https://lnkd.in/g9zi29AJ #HealthcareInnovation #ValueBasedCare #GlobalBudget #AHEADModel #CMS
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