Providers say new MACRA patient relationship codes are confusing and burdensome

By Virgil Dickson  |  August 31, 2016

Industry leaders say the proposed version of the patient relationship codes, which were mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, would be a burden and wouldn't accomplish the goal of effectively measuring resource use, a major performance category under the...

Clinton could face mounting problem with health overhaul

Clinton could face mounting problem with health overhaul

By Associated Press  |  August 29, 2016

With the hourglass running out for his administration, President Barack Obama's healthcare law is struggling in many parts of the country. Double-digit premium increases and exits by big-name insurers have caused some to wonder whether "Obamacare" will go down as a failed experiment.

Baby boomers, drugs pushing up federal healthcare spending

By Shannon Muchmore  |  August 23, 2016

Federal spending for major healthcare programs are estimated to increase by $55 billion, or 6%, in 2016 after a technical adjustment for payment timing shifts, according to a report from the Congressional Budget Office.

Iowa agency waives sanctions at start of state's new Medicaid system

By Associated Press  |  August 21, 2016

The state agency overseeing Iowa's transition to a privatized Medicaid program waived any possible sanctions against three insurance companies during the first two months of the new system, and it didn't inform health advocates or lawmakers about the plans.

CMS may crack down on third-party groups that subsidize ACA premiums

By Shannon Muchmore  |  August 18, 2016

The CMS is asking the public for information about providers and organizations that may be steering Medicare- or Medicaid-eligible patients toward the Affordable Care Act's insurance exchanges in order to receive higher reimbursement rates.

Medicaid doctors get help with quality reporting

Medicaid doctors get help with quality reporting

By Virgil Dickson  |  August 13, 2016

Clinicians in Medicaid are turning to quality-reporting services to help them track managed-care plans' rising demand for patient data, which is driving some physicians from the program.

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