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CMS extends Medicare experiment to curb ambulance use

CMS extends Medicare experiment to curb ambulance use

By Virgil Dickson  |  December 12, 2017

The CMS will continue its multi-state initiative to reduce ambulance use in the Medicare program after seeing claims drop. Transport providers have praised the effort even though it could hit their bottom lines.

Tired of talking, labs sue CMS over planned cut

Tired of talking, labs sue CMS over planned cut

By Virgil Dickson  |  December 11, 2017

Clinical labs are suing the CMS over a looming cut to their reimbursement, which they say may curb providers' ability to order tests for their patients to detect illnesses.

HHS greenlights pilot to share patient data with pharmacists

HHS greenlights pilot to share patient data with pharmacists

By Virgil Dickson  |  December 11, 2017

HHS' inspector general has OK'd an experiment from a drug company that seeks to allow pharmacists to review data for recently discharged patients in hopes of developing care plans that will prevent readmissions.

CMS promises more accurate Hospice Compare site

CMS promises more accurate Hospice Compare site

By Virgil Dickson  |  December 08, 2017

Officials at the CMS say they are taking multiple steps to address accuracy issues on Hospice Compare and believe the site will be largely free of errors by early next year.

Prosecutors insist eye doc stole $136 million from Medicare

Prosecutors insist eye doc stole $136 million from Medicare

By Associated Press  |  December 08, 2017

Either Dr. Salomon Melgen is one of the biggest Medicare swindlers ever, stealing more than $100 million from the federal healthcare program, or a penny-ante thief who walked off with $64,000.

Report finds Medicare willing to pay for primary care in new ways

Report finds Medicare willing to pay for primary care in new ways

By Tara Bannow  |  December 07, 2017

Medicare is increasingly willing to pay primary-care physicians to manage complex patients using new billing codes and demonstration projects, which a new Urban Institute report says may narrow the pay gap between primary-care physicians and specialists.

MedPAC finalizes its proposed MIPS replacement

MedPAC finalizes its proposed MIPS replacement

By Virgil Dickson  |  December 07, 2017

An influential policy organization that advises Congress on Medicare issues has finalized a proposal to replace MIPS under MACRA. However, some commission members still question whether MIPS should be junked.

CMS: Hospital, doc services demand slipped in 2016

CMS: Hospital, doc services demand slipped in 2016

By Virgil Dickson  |  December 06, 2017

Demand for doctor and hospital services slightly waned in 2016 after intense demand the previous year as previously uninsured consumers got the care they needed thanks to expanded coverage under the ACA.

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