Senate Health Bill to Reduce Federal Medicaid Funding to States
New analysis from Avalere finds that states could see federal funding for their Medicaid programs decline by between 6% and 26% under the Better Care Reconciliation Act (BCRA) by 2026.
Transitions of Impact: Driving PAC Optimization to Improve Patient Outcomes
Learn more about how new models of care are impacting providers as Avalere experts discuss care coordination and care transitions.
Avalere’s Take on the Quality Payment Program Proposed Rule
Today, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule that makes changes to the Quality Payment Program (QPP) for 2018, the second year of the program created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
21st Century Cures: What to Expect This Summer
The 21st Century Cures Act presents medical product manufacturers, patient groups, and advocacy organizations with a unique opportunity to plan for upcoming policy changes that are aimed at accelerating the pace of development and approval of new therapies.
Premium Increases and Fewer Insurers Participating Expected in Exchange Market in 2018
More than 40% of counties could see only one exchange plan in 2018, with risk that some counties may have no commercial options.
Physician Specialists Gain More Opportunities for Medicare Bonus Payments Tied to Quality
The number of CMS-approved QCDRs tied to payment grows by more than 60% in 2017.
Avalere to Participate in National Academies of Medicine Panel
On Tuesday, June 13, Christie Teigland, PhD, will participate in a panel discussion entitled “Measuring and Reporting Social Risk Factors” as part of a dissemination meeting on the report series “Accounting for Social Risk Factors in Medicare Payment,” sponsored by the National Academies of Medicine.
Outcomes-Based Contracting: Master the Challenges
Avalere experts examine the challenges and successful approaches to outcomes-based contracts.
Avalere Deepens Focus on FDA Regulatory Matters with Three New Hires
Tom Kraus, who most recently served as the chief of staff at the FDA, will be joining Avalere as senior vice president.
Five Obstacles to Competition in the United States Biologics Market
Biosimilars have the opportunity to foster competition, but policy and market barriers limit the growth of a functioning market.
Health Plans Are Actively Exploring Outcomes-Based Contracts
Avalere experts say use of outcomes-based contracts could further goals to improve patient outcomes and manage drug costs
Avalere and FasterCures Co-Author Blog Post Featured in Health Affairs
Blog post features key learnings from the Patient-Perspective Value Framework.
Our Take on The President’s Budget for Fiscal Year 2018
Today, the Trump Administration released its budget for fiscal year 2018 (FY 2018). The budget provides the President's recommendations for how the Congress should fund the government and marks the beginning of the FY 2018 budget season.
VA Formulary Coverage Much More Limited than Ohio Medicaid
Across 8 therapeutic areas, the Veteran's Administration (VA) National Formulary covers 49 percent fewer drugs than Ohio's largest Medicaid managed care plan and 68 percent fewer drugs than the Ohio Medicaid preferred drug list (PDL).
E2 – Telehealth Technology Improving Patient Access?
In the second interview of our health technology series, we discuss the promise of telehealth technologies with Jamey Edwards, CEO of Cloudbreak Health.
Per Capita Caps Could Reduce Funding for Children Covered by Medicaid
All 50 states and DC would receive fewer Medicaid dollars for non-disabled children.
Looking Ahead: How Will New Payment Models Evolve Under MACRA?
As the industry continues to see a shift from volume to value, Avalere experts examine the future of Medicare's Quality Payment Program under a new administration.
AHCA Will Remove Low Cost-Sharing Guarantees for Low-Income Individuals
The elimination of cost-sharing reductions could lead to low-income individuals facing higher deductibles and maximum out-of-pockets.
Avalere and FasterCures Release Patient-Perspective Value Framework to Incorporate Patient Preferences into Healthcare Treatment Decisions
Today, Avalere and FasterCures published Version 1.0 of the Patient-Perspective Value Framework (PPVF).
E1 – The Role of Technology in Chronic Disease Management
In our four-part series dedicated to digital health, we explore the role innovation and technology play in healthcare. We kick off this series with Adam Kaufman, CEO of Canary Health. Canary Health is a leading digital health self-management platform, which has demonstrated success in helping people achieve improved health while lowering healthcare costs.