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CMS looks to launch behavioral health pay model

CMS looks to launch behavioral health pay model

By Virgil Dickson  |  July 20, 2017

The CMS is interested in launching a new pay model that will target behavioral health services and is seeking public comment on what the new effort should look like. The announcement comes at a time when agency officials say they are still committed to value-based care.

Rule-o-rama spells trouble for hospitals

Rule-o-rama spells trouble for hospitals

By Virgil Dickson  |  July 14, 2017

In addition to Medicaid cuts that continue to be part of the GOP's plan to repeal and replace the Affordable Care Act, a 1,500-page Medicare payment rule and next year's physician fee pay rule all tighten reimbursement for providers, and most it spells trouble for hospitals.

Imaging use plunges as coding, reimbursement tightens up

By Rachel Z. Arndt  |  May 02, 2017

Medical imaging use in the U.S. has dropped significantly after years of widespread growth, leading to curtailed hiring, equipment purchases and reduced access to the technology thanks to cuts in federal reimbursement and new coding arrangements, according to a new study.

CMS delays expansion of bundled payment programs

CMS delays expansion of bundled payment programs

By Elizabeth Whitman  |  March 20, 2017

For now, it's a delay of three months, but the CMS is considering pushing back the Comprehensive Care for Joint Replacement program and its cardiac bundles until 2018.

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