Background The Quality Payment Program (QPP) under MACRA is now more than three months underway into the first payment year. However, there are still many nuances of the program, specifically under the multi-payer Advanced APM option, that payers —including commercial, Medicare Advantage, and Medicaid — and clinicians need to understand before they can begin collaborating, … Read more
Your experts at the crossroads of federal government and healthcare. How we help. The Leavitt Partners Federal Insights and Advocacy team combines expertise in policy, regulatory consulting, advocacy, and reimbursement. Our team is respected not only for our integrity and expertise, but also for our long record of success. We help clients draft legislation and … Read more
Salt Lake City, March 12, 2018 – Strategic provider partnerships are critical for an accountable care organization’s (ACO) economic survival and can add significant value for the consumer. In the March edition of Managed Care Leavitt Partners provides a framework for ACOs to assess individual partners and to determine the types of providers with whom … Read more
As telehealth gains traction as a way to deliver health care, Medicare reimbursement remains a major obstacle to broad implementation due in part to scoring methodology from the Congressional Budget Office (CBO). Rather than decreasing health care costs, CBO’s scoring methodology assumes that telehealth increases utilization and therefore overall costs. Recent legislation on the Hill, … Read more
The Government Accountability Office (GAO) recently issued a report outlining five key areas in which smaller, rural physician practices tend to struggle as they shift from fee-for-service reimbursement to value-based care. Given the unique nature of rural medicine, and the fact that value-based payment will continue to grow, it is important to understand these challenges … Read more
