decisionhealth Newsletters, Part B News - 2022 Issue 1 (January)
Extra predictions: Medicare Advantage, therapy assistants, direct contracting
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Article Overview
This article discusses several forward-looking Medicare and practice-management trends expected to shape the medical practice industry. It focuses on Medicare Advantage enrollment and market growth, how therapy reimbursement changes may affect staffing and assistant use, and the outlook for CMMI’s Direct Contracting model and related value-based care activity. The piece is aimed at readers tracking Medicare policy, provider operations, and market strategy.
Why This Topic Matters
The article helps readers understand where Medicare policy, payment changes, and value-based arrangements may influence practice operations, staffing, and investment activity. It is relevant for organizations trying to anticipate Medicare Advantage adoption, therapy workflow adjustments, and participation in emerging risk-sharing care models.
Article Sections
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Prediction: Medicare Advantage will continue to climb
Discusses expected growth in Medicare Advantage and broader market factors influencing plan adoption and provider participation.
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Prediction: Reimbursement cuts and de minimis changes will affect how rehab therapists use their assistants
Covers anticipated impacts of Medicare payment changes on therapy practices, staffing patterns, and assistant utilization.
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Prediction: Direct contracting will take off
Reviews expectations for the Direct Contracting model, including CMMI activity, value-based care interest, and future model direction.
What You Will Learn
- How Medicare Advantage trends are shaping payer and provider interest
- How therapy payment changes may affect rehabilitation staffing and workflow
- How Medicare direct contracting is evolving within value-based care
- Why these developments matter for medical practice strategy and operations
Who Should Read This
- Medical practice administrators
- Physician and therapy practice leaders
- Medical coders and revenue cycle professionals
- Health care consultants
- Value-based care stakeholders
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