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126. Medicare Reforms Hit Potholes

126. Medicare Reforms Hit Potholes

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The Trump Administration is on a VBC reform model fury. It deserves credit but there are potholes ahead on its reform map.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc discusses the Trump administration's VBC reform model fury. It deserves credit but there are potholes ahead on its reform map.

Key Takeaways:

Medicare FFS is badly in need of reform and CMS has been introducing VBC payment models for a number of years.

The Trump administration has been on a model fury, seeking to set its mark on healthcare reform.

It is introducing reforms leveraging technology and expanding VBC payments.

But the model fatigue of the past is setting in again with numerous new models and aggressive timeframes.

The tech-enabled ACCESS model was extended to obtain more tech company participants.

The ACO LEAD model may not get the volume CMS hoped for, either.

The GLP-1 BALANCE model has been paused because too few plans expressed interest.

BALANCE holds great promise, short-term costs in return for long-term savings and better health.

But it comes at a tough time for plans, which are in the midst of a financial recovery.

The Trump administration's vision is commendable but may need some tactical adjustment.

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The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

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