News & Analysis as of September 23, 2024

Bundled Payments

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The Patient Protection and Affordable Care Act (PPAC), also known as Obamacare, is a United States federal statute passed in March of 2010. The Act creates a nationwide insurance system and provides federal... more +

With a knee you can see: Yes, Obamacare helps to cut costs and improve care

Patrick Malone & Associates P.C. | DC Injury... on 9/12/2018

Federal regulators may be forced to reconsider their plans to curtail a cost-containing experiment that affects some of the most commonly performed surgeries — knee and hip replacement procedures that hundreds of thousands of...more

Manatt on Health Reform: Weekly Highlights - September 2015 #4

Manatt, Phelps & Phillips, LLP on 9/23/2015

The Massachusetts Marketplace takes steps to ease consumer confusion by reducing choice among QHPs; North Carolina appears poised to pass Medicaid reform legislation; and bipartisan support is gaining for defining businesses...more

Will Personalized Medicine Survive Alternative Payment Models?

Foley & Lardner LLP on 6/22/2015

There is no doubt that health care costs in the United States are rising. According to a recent study published by the U.S. Department of Health and Human Services, personal health care expenditures in the United States...more

The Year to Come for General Counsel: Payment Reform, Managed Care and Affiliations - Part 1: Payment Reform Four Years After the...

Baker Donelson on 1/17/2014

Part one of a three-part series - As the public begins to navigate the health insurance exchanges and healthcare.gov cleans up its glitches, executive leadership of most health systems, hospitals and physician...more

CMS Announces More Bundled Payment Opportunities: Are We Moving Back to Capitation?

Baker Donelson on 3/8/2013

CMS recently announced that it accepted over 500 participants into the Bundled Payments for Care Improvement initiative, which seeks to provide financial incentives for high quality coordinated care across provider types and...more

CMS Announces Participants in Bundled Payments for Care Improvement Initiative

King & Spalding on 2/7/2013

On January 31, 2013, CMS announced the organizations that will be participating in its Bundled Payments for Care Improvement (BPCI) initiative. Established under CMS’s innovation authority provided for in the Patient...more

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