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Physicians still waiting for guidance on Medicare ID card changes

Physicians still waiting for guidance on Medicare ID card changes

By Virgil Dickson  |  June 21, 2017

Medical practices around the country are uncertain how to prepare for the upcoming removal of Social Security numbers from Medicare ID cards because the CMS has failed to provide clear guidance. The change could affect their billing privileges and patients' access to care.

CMS gives more small practices a pass on MACRA

CMS gives more small practices a pass on MACRA

By Virgil Dickson  |  June 20, 2017

The CMS wants to exempt more small providers from having to comply with MACRA. Experts say that doesn't mean the agency is moving away from value-based payment models.

HealthPlus' integration into Henry Ford's HAP a turnaround story

HealthPlus' integration into Henry Ford's HAP a turnaround story

By Jay Greene  |  June 19, 2017

As its former CEO, Dr. Michael Genord, oversaw the effort to turn around the financial and operational health of Flint-based insurer HealthPlus of Michigan before the commercial and Medicare business was sold to Health Alliance Plan. As CEO of HAP Midwest Health Plan, Genord was again a key player.

Virtual groups may not draw many docs looking to meet MACRA

By Virgil Dickson  |  June 19, 2017

Despite initial wide interest from small doctor practices, the CMS expects few will take advantage of a policy that allows them to work together to comply with the quality payment program outlined in MACRA.

Bending the cost curve on high-risk patients

Bending the cost curve on high-risk patients

By Shelby Livingston  |  June 10, 2017

While nearly all plans have some kind of program aimed at managing high-risk patients, not all of them are able to successfully reduce costs. Effective programs require a "high-touch, labor-intensive model" where care teams meet patients in settings other than the hospital or clinic.

Health insurers make progress in the hunt for dual-eligibles

By Virgil Dickson  |  June 01, 2017

When 13 states launched demonstration programs to coordinate and improve care for people dually eligible for Medicare and Medicaid, health plans struggled to find those members. Now, health plans are making progress thanks to new tactics.

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