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.
Mental health parity in insurance coverage won't overcome the barriers to access presented by providers who continue to reject third-party reimbursement.
Congress is asking the CMS to be flexible as it moves to eliminate Medicare payments for services at new off-campus outpatient departments.
In a letter, HHS Inspector General Daniel Levinson said the CMS should collaborate with Accredited Standards Committee X12 to include UDIs for implantable medical devices on insurance claims forms to help identify and reduce Medicare costs related to recalled or defective devices.
The comments flooded in after the CMS proposed in July that surgeons collect data on every 10 minutes of perioperative activity. The American Medical Association branded the suggested requirement as an “undue burden.”