Blog

Part of the CARES Act, which Congress enacted to help provide financial support to the country during the COVID-19 crisis, included the provision of $50 billion to providers through a special Provider Relief Fund. The funds were issued over 2 installments: $30 billion in the initial distribution and $20 billion in the second — DataGen […]

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As we recently reported, the Comprehensive Care for Joint Replacement program (CJR) is likely to be extended for another three years. As the program ages, the time period used to establish baseline expenditures also changes. As a result, participants should expect target prices to be lower across all census regions for year five of the […]

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Unsurprisingly, COVID-19 was far and away the dominant topic of the month in healthcare. As the pandemic continues, more news and updates from CMS, HHS and Congress have begun to shed light on how healthcare policy will be impacted going forward.  The continuing COVID-19 crisis The next round of funding from CMS to hospitals for coronavirus […]

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CMS released a new proposed rule that would extend the life of its Comprehensive Care for Joint Replacement program. Riding on the success that CJR has demonstrated in helping lower costs for participants, the new rule would keep CJR running for three more years. Under the new proposed rule, CJR would run through December 2023, […]

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The COVID-19 pandemic dominated media and “mindshare” this month and for good reason. Here are the news stories that caught our attention. The massive impact of COVID-19 The outbreak of COVID-19 has resulted in the cancellation of elective surgeries, something that many participants in the Comprehensive Care for Joint Replacement and Bundled Payments for Care […]

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We’re well into 2020 and healthcare continues to evolve, fast as ever. This month, we saw the emergence of new trends, some evidence that value-based programs are starting to mature and more. Take a look — what caught your eye in February? National Policy News CMS’ direct contracting model could be a major shakeup for […]

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The majority of healthcare executives plan to increase and expand their participation in value-based programs in the next one to two years, according to a new survey from DataGen and Sage Growth Partners. Find out why those executives are so confident that value-based programs will keep their bottom lines safe in our new report, “What’s […]

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The new year is bringing a lot of reviews of healthcare trends from 2019 and speculation about what 2020 will bring. Meanwhile, new studies and policy changes continue to make headlines.  Here’s what caught our eye in January. Some savings in bundles — more to come? Several news outlets picked up a new study from […]

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DataGen analyzed the calendar year 2020 Medicare Outpatient Prospective Payment System final rule to show providers how Medicare outpatient fee-for-service payments will change from CY 2019 to CY 2020 based on the policies set forth in the CY 2020 OPPS final rule correction notice. In addition to the traditional impacts of marketbasket updates, etc., DataGen […]

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The year 2019 is beginning to wind down, but there’s no shortage of updates in bundled payments, policy and payment reform. Here’s what we found interesting in November—what’s been on your radar? Bundled payments The theory and thought behind bundled payments is that they are an effective way to improve care delivery and reduce costs, […]

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