tci Medicare Compliance & Reimbursement - 2016 Issue 21
Industry Note: States Chime in with ACO Initiatives to Up the MACRA Ante
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Article Overview
This article reviews how several states are participating in Accountable Care Organization and delivery-system reform efforts connected to the shift toward MACRA and advanced alternative payment models. It is aimed at readers tracking Medicaid innovation, state-level payment reform, and CMS-related model development, with examples from multiple states and a referenced HHS update.
Why This Topic Matters
The piece helps compliance, coding, and reimbursement professionals follow how state and federal payment reform initiatives are evolving and how those changes may affect participation in future alternative payment models.
What You Will Learn
- How states are engaging in ACO-related delivery-system reform efforts
- How Medicaid innovation is being linked to broader MACRA and APM planning
- Which state initiatives are highlighted in the update
- How CMS Innovation Center and HHS are described in the context of state reform efforts
Who Should Read This
- Medical coders
- Revenue cycle professionals
- Compliance staff
- Healthcare administrators
- Practice managers
- Payer policy analysts
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