Many patients are making the shift from traditional Medicare plans to Medicare Advantage plans, and while these plans may have some advantages, they are also creating more headaches for case managers.
This week's note from the instructor examines the initial implementation of CMS' new price transparency policy and tactics facilties have employed to comply with publicly posting a list of machine-readable standard charges.
CMS ramped up risk-sharing for accountable care organizations (ACO) in a final rule published December 31, 2018. The final rule makes changes to the Medicare Shared Savings Program and will reduce the amount of time ACOs can stay in one-sided risk models.