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.
Medicare's new payment system for physicians is causing anxiety because of the short stretch of road before their performance is judged for a raise or pay cut. In the long-term, though, Medicare and most everyone else want providers to leave that new system behind. It's value-based training wheels.
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.
To get more doctors to embrace value-based payments, the CMS wants to team up with states to launch multi-payer efforts that could qualify as alternative payment models under MACRA. But some state officials may see the initiative as too closely linked to the Affordable Care Act.
The program also highlights many of the challenges of providing value-driven care, including the question of how existing value-based programs can be replicated in other health systems.
Without risk-adjustment for sicker patients, hospitals in the bundled-payment initiative for hip and knee replacements may try to stop seeing those patients, researchers warned.
The CMS has extended a ban on new home health agencies in four states after some providers were enrolling in counties outside a moratorium and then signing up patients who lived in the banned areas. Providers who were applying for payment say they should be reimbursed for as much as $200,000 in...
Prime Healthcare blasted the Department of Justice for using a whistle-blower lawsuit to challenge physician judgment over inpatient and outpatient hospital admissions, calling for the $50 million complaint to be thrown out.
Hospital associations say a CMS proposal to ease the backlog of denied Medicare claims by making tweaks to the recovery audit contractor appeals process could leave them with fewer opportunities to retain payment. Others say the proposal would let potentially untrained people make the decisions.