What to know about Tom Price before his HHS confirmation hearings

Expect tough questioning from Senate Democrats when Congressman Tom Price appears before two of their committees in his bid to become the next secretary of the Department of Health and Human Services. His confirmation journey continues Jan. 18 with a hearing before the Senate HELP (Health, Education, Labor and Pensions) Committee. Then it’s on to […]

Knees and hips and what they could reveal about ACA’s quality drive

The Affordable Care Act created many opportunities for Medicare to test new ways of paying for health care. One of the biggest and most dramatic tests is now getting underway: bundled payments for hip or knee replacement. Unlike most Center for Medicaid and Medicare Innovation (CMMI) projects on payment and delivery reform, this one is […]

AHCJ webcast will address how payers, providers are implementing bundled payment

Late last month we wrote about criticism leveled at the federal government’s latest bundled payment proposal. Since then, other experts have come forward to criticize not only the Comprehensive Care for Joint Replacement (CCJR) proposal announced last month, but also the Bundled Payments for Care Initiative (BPCI) program that began in April 2013. Both programs […]

Some hospitals slow to adopt new systems of care

We’ve told you over and over again on this blog that the Affordable Care Act isn’t just about coverage. It’s also about changing how health care is delivered, moving away from fee-for-service to a more value- and quality-based system. Medicare is aiming to have half of its payments under alternative payment models by 2018. That […]

Is CMS doing bundled payment for hip and knee replacement all wrong?

Earlier this month, the federal Centers for Medicare & Medicaid Services proposed a five-year bundled-payment test program for hip and knee replacement surgeries. At the time, CMS said its Comprehensive Care for Joint Replacement (CCJR) program would require 800 hospitals in 75 areas to test bundled payments for most of the 100,000 hip and knee […]