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Docs face stark choices under new Medicare pay proposal

Docs face stark choices under new Medicare pay proposal

By Beth Kutscher  |  April 30, 2016

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.

Medicare's new quality program targets measurement fatigue

By Sabriya Rice  |  April 30, 2016

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.

Tobacco tax for Medicaid plan faces challenge in Oklahoma

By Associated Press  |  April 30, 2016

A plan to shift coverage for some of Oklahoma's Medicaid recipients in order to trigger an infusion of federal funding appears to be gaining support among Republican lawmakers, but the idea of funding it with a tobacco tax is facing uphill sledding in the GOP-controlled Legislature.

Community Health Systems spins off Quorum unit

By Modern Healthcare  |  April 30, 2016

Community Health Systems has completed its spinoff of 38 hospitals into a separate, independent company, Quorum Health Corp. Quorum begins trading to the general public on Monday under the symbol QHC.

Will Medicare's physician payment overhaul drive more docs to hospitals?

Will Medicare's physician payment overhaul drive more docs to hospitals?

By Beth Kutscher and Adam Rubenfire  |  April 27, 2016

The CMS has started to answer the many questions surrounding how physicians will get paid under the Medicare Access and CHIP Reauthorization Act. But some stakeholders were immediately dissatisfied with what they saw, and the 963-page rule may have raised as many questions as it answered.

CMS squeezes hospitals on pay

CMS squeezes hospitals on pay

By Virgil Dickson  |  April 23, 2016

While hospitals are celebrating the Obama administration's surrender on the Medicare pay cut tied to the two-midnight rule, they're seething over a proposal to nearly double the expected payment reduction meant to recoup overpayments from incorrect coding.

New CMS primary-care payment model would affect 20K doctors

New CMS primary-care payment model would affect 20K doctors

By Virgil Dickson  |  April 11, 2016

The initiative will include up to 5,000 practices in 20 regions, which would encompass more than 20,000 doctors and clinicians. It's the agency's largest plan ever to transform and improve how primary care is delivered and reimbursed.

Editorial: The therapeutic illusion in cardiac care

Editorial: The therapeutic illusion in cardiac care

By Merrill Goozner  |  April 02, 2016

Ever heard of the “therapeutic illusion”? I hadn't until I read a Perspective article in last week's New England Journal of Medicine that should be required reading for any healthcare executive serious about moving his or her organization from volume-driven to value-based care.

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