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.
Hospitals are on the hook for implementing certified EHRs before the end of the year—and they're dependent on EHR vendors to get them the technology before then.
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.
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.
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.
More than 500,000 providers will see a reduction in their Medicare reimbursement this year due to poor performance under the Physician Quality Reporting System.
The CMS may have paid providers more than $729 million in incentive payments for EHR systems that didn't comply with federal standards, according to HHS' Office of Inspector General.
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.
Learn about the current biosimilar market, the challenges of bringing a biosimilar to market, and discuss medical reimbursement for biosimilars.
House lawmakers on Wednesday praised a small program used to manage care for frail seniors and disabled adults, saying they wished the initiative could be expanded to their districts.
California and New York have both signaled renewed Democratic support for single-payer initiatives, but the proposals face long odds as voters recoil when faced with sharp tax increases—even though those taxes would be partially offset by elimination of private insurance premiums.
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.