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HHS sets goals for expanding new Medicare payment models

By Paul Demko  |  January 26, 2015

The Obama administration wants 30% of payments for traditional Medicare benefits to be tied to alternative payment models such as accountable care organizations by the end of 2016. The administration also has set a goal of hitting 50% by the end of 2018.

CMS  can order trials before OKing payment for new tech

CMS can order trials before OKing payment for new tech

By Virgil Dickson  |  January 24, 2015

The CMS will continue ordering some drug and device manufacturers to collect evidence on how well their technologies work before giving its final approval on reimbursement.

Justices appear split on lawsuits over low Medicaid rates

Justices appear split on lawsuits over low Medicaid rates

By Lisa Schencker  |  January 20, 2015

Some U.S. Supreme Court justices are skeptical, based on questions they posed Tuesday, that healthcare providers should be allowed to sue state Medicaid agencies over low reimbursement rates. Other justices, though, asked where providers can challenge rates if not in court.

National action needed to advance telemedicine

National action needed to advance telemedicine

By Merrill Goozner  |  January 17, 2015

Telehealth, which has been around for four decades, lives in regulatory limbo, despite being one of the more promising technologies for improving patient outcomes and lowering costs.

MedPAC seeks reimbursement rate freeze

By Virgil Dickson  |  January 16, 2015

The Medicare Payment Advisory Commission has voted unanimously to make a series of recommendations to Congress that would either freeze reimbursements or make them site-neutral. The goal is to potentially save Medicare several billion dollars.

Here comes this year's Medicare doc-fix exercise

By Paul Demko  |  January 16, 2015

The perennial congressional battle over repealing Medicare's sustainable growth-rate payment formula for physicians will kick off Wednesday. Two days of hearings before the House Energy and Commerce Committee will seek to find common ground on a permanent fix to the despised payment formula.

RACs are back, at least through 2015

By Bob Herman  |  December 31, 2014

The four private companies that run Medicare's recovery audit program will have their contracts extended through 2015. But it's unclear what types of medical reviews or claims are going to be eligible for auditing.

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