The CMS is proposing mandatory bundled payments for heart attacks and bypass surgery at hospitals in 98 randomly selected metropolitan areas. The family of procedures would become the second to be rolled into a mandatory experiment with the model.
The CMS is considering making tweaks to its controversial Open Payments policy to ensure accuracy of payment data posted by providers.
The November elections surely won't end the nonstop, eight-year political war over the shape of the U.S. healthcare system. But the ballot results likely will determine whether the changes driven by the ACA continue in the same direction or the system returns to its previous, less-regulated form.
This is not a time for procrastinators as Medicare physician reimbursement undergoes its biggest change since its launch in 1965.
The single life may prove troublesome for specialty group practices under MACRA. David Fitzgerald, CEO of Proliance Surgeons in suburban Seattle, said specialty practices are in the dark about their fate under the new physician reimbursement system.
Dr. Joe Schlecht isn't afraid of MACRA, although he knows the design of the new Medicare payment system will be challenging for small practices like his. “Most primary-care physicians are still practicing like they did 10 years ago. They don't even know how to spell MACRA,” he said.
The owner of more than 30 skilled-nursing and assisted-living facilities in the Miami area and two co-conspirators have been charged for their involvement in a $1 billion Medicare fraud and money laundering scheme.
The Republican Party's plan to convert Medicare into a defined-contribution, "premium support" model would be enormously complicated, and the ramifications could be more far-reaching than the changes made by the Affordable Care Act, judging from a new policy brief.
The CMS has selected 516 physician practices to participate in a payment initiative intended to change the way providers manage heart disease.
A panel that advises the CMS on Medicare coverage decisions says it has little to no confidence there is adequate data that current treatments for patients with diseased leg veins improve health outcomes.
A report released Wednesday showed that for every dollar spent on program integrity efforts, about $12.40 was saved.
U.S. healthcare providers and insurers that accept federal funding are now required by an HHS rule to adhere to new protocols when dealing with transgender patients. Hospitals in Boston, New York and San Francisco say their local anti-discrimination laws have made it easy to follow the new rule.