There's mounting speculation about how presumptive Republican presidential nominee Donald Trump will handle the Medicare issue during the general election campaign and what he would do about it if elected president.
Hospitals are concerned about the administrative burden posed by a proposed CMS rule that would ban them from Medicare and Medicaid if they fail to disclose that they are working with providers or suppliers who have been barred from the programs or owe money to the government.
Officials for St. John Providence Health System were told Tuesday that St. John River District Hospital in St. Clair, Mich., is back in compliance with Medicare standards and a decision to terminate the hospital's participation in Medicare has been rescinded.
CMS acting Administrator Andy Slavitt told the Physician-Focused Payment Model Technical Advisory Committee on Wednesday that the agency needs to hear ideas from providers in order to create successful alternative payment models.
The pressure is on for the CMS to transform or even drop its recently proposed plan to change the way it pays hospitals and doctors for outpatient drugs covered by Medicare Part B. Comments are flooding the agency, and most of the 600 opinions received so far are negative.
Health IT experts say the tight timelines surrounding a new round of clinical quality and IT measures may result in penalties for some physicians if those measures require significant changes to electronic health records and other systems.
Physicians speaking at the American Hospital Association annual meeting Tuesday said smaller practices in particular will have trouble with tight deadlines and substantial infrastructure requirements.
Massachusetts hospital leaders hope the CMS will overlook a miscalculation submitted by a small hospital there that could otherwise cost facilities across the state $160 million. Some experts, however, say the CMS may be reluctant to fix the mistake, out of fairness to other states.
A new report in Health Affairs argues that because private insurers pay more for services than Medicare, getting people between 65 and 67 on other plans would end up increasing healthcare spending across the country.
The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.
The CMS is preparing to cull the number of quality metrics that physicians have to report as it rolls three quality-incentive programs into what Congress conceived as a more harmonized framework.
Aetna's total medical membership fell by almost a half million people since the start of the year, but the Hartford, Conn.-based health insurer was still able to build revenue.