News Analysis

by Matt Guldin | November 27, 2018

Is Radiation Oncology Ready for Alternative Payments?

Recent comments by Secretary Alex M. Azar II indicate changes ahead   Key Takeaways Mandatory alternative payment model (APM) is coming for radiation oncologists. HHS has not yet released many details but The American Society for Radiation Oncology’s (ASTRO) radiation oncology-APM (RO-APM) is a likely useful proxy for what this

by Chilmark Team | November 13, 2018

How will Proposed Changes to CMS Telehealth Reimbursement Affect Adoption?

Key Takeaways CMS-proposed rule changes extend Medicare Advantage and Part D plan coverage for telehealth services starting in 2020 Proposal includes enhancements to the Star Ratings methodology, which include updating the cut-point determination methodology as well as adjustments for Star Ratings in times of uncertainty, such as hurricanes. Under the

by Matt Guldin | August 30, 2018

Humana-Walgreens Partnership: Primary Care Focused on Medicare Advantage

Key Takeaways: Humana and Walgreens jointly announced a partnership for Human to operate senior-focused primary care clinics in Walgreens stores. This comes as a response to a clear industry need for new "front doors to care" and other investments in retail health by competitors to both companies. We predict these

by John Moore | August 14, 2018

Future Winners in Accelerating Shift to Value

Last week, CMS released its proposed rule (beware – in good government fashion it’s a whooping 607 pages) for the Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) program. CMS is taking a big leap forward with this rule on the path to value-based care. The big leap? Moving

by Brian Eastwood | May 01, 2018

Taking Patient Behavior Change From Words to Deeds

The concept of behavior change, previously a footnote at best in patient engagement conversations with healthcare stakeholders, increasingly represents a key theme in those talks. Providers, payers, employers, and health IT vendors all acknowledge the importance of helping patients take specific actions to improve clinical outcomes, lower healthcare costs, and

by Chilmark Team | April 26, 2018

Promoting Interoperability: MU Fades to Black

By Brian Murphy and Brian Eastwood Seeking to liberate the industry from its self-created morass of siloed data and duplicative quality reporting programs, the Department of Health and Human Services (HHS) issued 1,883 pages of proposed changes to Medicare and Medicaid. It renamed the Medicare and Medicaid Electronic Health Record

by John Moore | April 13, 2018

What’s All the Fuss – Some Thoughts on Recent News

At times it can be challenging to draft commentary on all that is happening across this industry sector. Rather than write short posts for each, I have created an amalgamation of commentary to some of the more newsworthy announcements. Roche Acquires Flatiron Wow, whoever knew that data could be such

by Brian Murphy | April 11, 2018

TEFCA Response Drives ONC to Reconsider

Key Takeaways: TEFCA proposed a new approach to healthcare data interoperability Industry response to TEFCA was not favorable ONC will revise and reissue this year The public response to ONC’s proposed Trusted Exchange Framework and Common Agreement (TEFCA) and U.S. Core Data for Interoperability (USCDI) underscores the pent-up demand for
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