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May 18, 2017

ACO roundup: CMS expands CPC+ to four new regions

Daily Briefing
  • Aetna CEO: 'Single-payer, I think we should have that debate as a nation.' In a private meeting with employees last Thursday, Aetna CEO Mark Bertolini said he is open to a public debate on transitioning the United States to a single-payer health care system. Bertolini in later comments said policymakers should "discuss what single-payer means. Is it a single source of financing, which does not yet get at the cost structure? Is it a health care system where the government owns the doctors and hospitals and operates them as well, like the [National Health Service] in the [United Kingdom]? What is that?"

  • CMS expands CPC+ to new regions. CMS on Wednesday said it is expanding the Comprehensive Primary Care Plus (CPC+) program—currently operating in 14 areas—to four new regions: Louisiana, Nebraska, North Dakota, and the Greater Buffalo Region of New York. According to CMS, eligible participants in those areas have until July 13, 2017 to apply to join the second round of CPC+, which will run from 2018 to 2022. CMS said it has provisionally agreed to collaborate with seven payers in the new regions for Round 2, as well as five other payers to "provide additional support in certain existing Round 1 regions."

  • CMS releases checklist for states seeking ACA innovation waivers. CMS on Tuesday released a checklist to help guide states seeking so-called "state innovation waivers" under the Affordable Care Act (ACA). Section 1332 of the ACA allows states to apply for the waivers to use federal funding intended for the ACA to redesign their health care systems. The checklist outlines the requirements states must meet to receive federal approval for an innovation waiver and details what kind of waivers the Trump administration is interested in, including waivers that would bolster the health insurance market, increase health plan options, and lower health premiums.

From Advisory Board:

  • What the best patient access initiatives do differently. Even though health care reform is in a state of uncertainty, one thing is for sure: helping consumers access care in your ambulatory network is a priority no matter the political outcomes. Join us May 22 to learn what makes the most successful patient access initiatives stand apart from the crowd.

Register Here

Register Here

  • How to assemble a high-performing PAC partner network. This webconference will provide guidance for developing a more systematic post-acute care network strategy. Join us on June 14 to learn the seven strategic steps health systems should take when assembling high-performing PAC networks.

Register Here

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