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5 payer trends to watch in 2018

Henry Kotula

“Overall, these trends will likely shift significant patient volume from higher-intensity settings to lower-intensity settings while maintaining — or in some cases even improving — quality of care or patient experience,” Krishna said. Payer-provider partnerships vary in type, size, location and model.

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CMS rolls back more Medicare, telehealth regs for providers working through pandemic

Henry Kotula

Accountable care organizations also scored a major win in the Thursday rule drop, with CMS pledging they wouldn’t be dinged financially for lower-than-expected health outcomes in their patient populations from COVID-19.?. In the past, only doctors, nurse practitioners, physician assistants and certain others could do so.