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Bonus or penalty? Medicare provider payments are now adjusted based on quality metrics16 September 2019 - By Christopher Kunkel and Mike Hamachek - Article

What happened in the first year of Merit-Based Incentive Payment System reporting?

Medicaid’s winding path through Institutions of Mental Disease19 December 2018 - By Christopher Kunkel and Catherine E. Lewis - Article

The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act provides a simpler way for states to include Institutions of Mental Disease facilities in their fee-for-service and managed care delivery models—a state plan amendment.

A risky prescription: Part D risk sharing arrangements04 January 2018 - By Christopher Kunkel and Lynn F. Dong and Nicholas Johnson and Adam Barnhart - Article

A discussion of some of the most important considerations for Medicare Advantage risk-sharing arrangements that include Part D coverage.

MACRA and Medicare Advantage plans: Synergies and potential opportunities21 February 2017 - By Christopher Kunkel and Drew Osborne and Lynn F. Dong and Michael J. Polakowski and Noah Champagne and Charlie Mills - Article

While MACRA primarily affects Part B clinicians, there are numerous implications, synergies, and opportunities for Medicare Advantage plans.

Early thoughts on Medicare Shared Savings Program (MSSP) Track 1+08 November 2016 - By Charlie Mills and Christopher Kunkel and Colleen Norris and Noah Champagne - Article

CMS Final Rules for MACRA give glimpse of MSSP Track 1+ details.

Challenges and opportunities with obtaining Qualifying APM Participant status18 August 2016 - By Charlie Mills and Christopher Kunkel and Pamela M. Pelizzari - Article

This paper explores both the challenges and the opportunities associated with participating in an Advanced Alternative Payment Model (APM) and obtaining Qualifying APM Participants status, helping providers understand not only why this status may be desirable, but also what risks they might encounter along the way.

MACRA: Key issues for providers09 August 2016 - By Christopher Kunkel and Colleen Norris and Lynn F. Dong - Article

A list of five important considerations regarding the Medicare Access and CHIP Reauthorization Act of 2015 and how these may affect providers.

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