In a final decision on coverage for leadless pacemakers, the CMS met physicians halfway, not giving them unconditional coverage, but certainly expanding what Medicare will pay for.
The Medicare Payment Advisory Commission wants hospitals and doctors to get raises in 2018. Ambulatory surgery centers, skilled-nursing facilities and inpatient rehabilitation facilities should get no increases.
Physicians want wider Medicare coverage for leadless pacemakers, arguing the current reimbursement proposal puts the device out of reach for too many patients.
“The process and scope were the downfall of the model,” said Jennifer Snow of AmerisourceBergen Corp., a drug distribution and services company. Opponents of the program said it upset the balance between the executive and legislative branches.
The CMS is proposing Medicare coverage for leadless pacemakers, but only those used in federally approved clinical studies.
Regarding the article “When physicians burn out, solutions are elusive,” as long as physicians are seen purely as the economic engines of healthcare, as “producers,” where value and worth is equated purely to production and productivity, burnout will be rampant.
The CMS has awarded five new contracts for Medicare's controversial recovery audit contractor program. Veteran contractor CGI Group will not return.
Hospitals over the past year have seen rising labor costs, pressures to invest to prepare for value-based reimbursement and a flattening of volumes from the Affordable Care Act exchanges. As third-quarter earnings season hits full stride this week, early results have been decidedly mixed.
Facilities that care for Medicare patients with end-stage renal disease will see their payment rates rise by 0.73% next year, leading to an extra $80 million in funding, the CMS said late Friday.
MACRA will fuel demand for the services of a burgeoning crop of vendors that specialize in helping providers collect, analyze and report performance data.
Nearly a third of physicians could be exempt from Medicare's new Merit-based Incentive Payment System under a final CMS rule for implementing MACRA. The CMS will also broaden the opportunities for physicians to join alternative models that carry bigger rate increases and bonuses.
The evidence clearly shows that small and rural practices are successful in improving care and lowering costs and even outperforming their urban peers. They are nimble and dedicated to the care of their communities.