The measure co-sponsored by Reps. Diane Black (R-Tenn.) and Peter Welch (D-Vt.) would reduce regulatory burdens for ACOs by waiving the telehealth site-of-service requirements.
The CMS will unveil a new web tool that helps clinicians assess the potential impact of merit-based incentive payment systems (MIPS) on their reimbursement. It will also help them evaluate their performance under the system and provide tips to improve scores.
Kindred Healthcare will pay a $3 million penalty and close several sites after failing to implement corrections to its billing system under a corporate integrity agreement with the federal government, the largest such penalty issued to date.
The owner and operator of a New Jersey billing company will pay a $100,000 penalty after submitting fraudulent Medicare claims for diagnostic tests that were never conducted, marking the first such penalty from HHS' Office of Inspector General.
Because the Bundled Payments for Care Improvement initiative is so new—and purely voluntary—it is too soon to draw broad conclusions about bundled payments' effectiveness in improving healthcare quality while lowering costs.
Medicare's new payment system for physicians is causing anxiety because of the short stretch of road before their performance is judged for a raise or pay cut. In the long-term, though, Medicare and most everyone else want providers to leave that new system behind. It's value-based training wheels.
To get more doctors to embrace value-based payments, the CMS wants to team up with states to launch multi-payer efforts that could qualify as alternative payment models under MACRA. But some state officials may see the initiative as too closely linked to the Affordable Care Act.
The CMS says some Medicare beneficiaries are receiving tax credits to purchase insurance through the Affordable Care Act marketplace. The agency is warning them to cancel their exchange coverage immediately and pay back the credit they've received.
Providers now face a lower-stakes set of decisions but the same mandate to wean themselves off of fee-for-service pay.
The feds can strengthen the system with safeguards, but must avoid unintended devastating consequences for people who depend on charities. The agency has the opportunity to protect an entire class of low-income people with serious illnesses who depend on charitable assistance.
A few changes were made to the original proposal, which providers had warned may be costly and difficult to implement.
By tweaking an existing funding opportunity to tackle the social determinants of health, the CMS will make it "more manageable" for organizations to apply, one observer said.