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.
Vermont has received tentative approval from the Obama administration to establish an all-payer reimbursement system for healthcare providers in the state starting in January.
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.”
A new survey from the Physicians Foundation found 54% of physicians reported negative morale in their career and only 37% described their feelings about the future of their profession as positive.
Kindred Healthcare will pay a $3 million penalty and close several sites after failing to implement corrections to its billing system under a corporate integrity agreement with the federal government, the largest such penalty issued to date.
The owner and operator of a New Jersey billing company will pay a $100,000 penalty after submitting fraudulent Medicare claims for diagnostic tests that were never conducted, marking the first such penalty from HHS' Office of Inspector General.
Hospitals and states say a proposed change to the way Medicaid pays hospitals that serve high levels of Medicaid and uninsured patients could be illegal and would destabilize safety net hospitals if finalized.
While we have a ways to go, the value-based care model—combining the practice of population medicine with innovative payment models—has already resulted in better health, improved quality and lower costs for patients, providers and health plans.