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Direct-contracting won't hurt Advantage business, CMMI director says

Direct-contracting won't hurt Advantage business, CMMI director says

By Susannah Luthi  |  October 16, 2018

The Trump administration is looking at new risk structures, including direct provider contracting, to drive cost-saving behavior in the healthcare industry. But CMMI Director Adam Boehler said that won't dent the Medicare Advantage business.

CMS' readmissions program changes hit specialty hospitals

CMS' readmissions program changes hit specialty hospitals

By Maria Castellucci  |  October 05, 2018

Recent changes to the CMS' Hospital Readmissions Reduction Program will result in smaller penalties at teaching and community hospitals and larger penalties at specialty hospitals, according to a Modern Healthcare analysis.

House Democrats press HHS for Medicaid work requirement records

House Democrats press HHS for Medicaid work requirement records

By Susannah Luthi  |  September 20, 2018

Two top Democrats on the House Oversight Committee want to subpoena the Trump administration's documents around its Medicaid work requirement policy. HHS officials haven't responded to their previous requests for information.

CMS plans to stop hospitals from rejecting ASC patient transfers

CMS plans to stop hospitals from rejecting ASC patient transfers

By Virgil Dickson  |  September 17, 2018

The CMS wants to buck a trend of hospitals denying patient transfers from ambulatory surgery centers. The proposal is part of a broader effort to reduce providers' administrative burdens and improve access to care.

CMS underestimated Medicare ACOs' savings

CMS underestimated Medicare ACOs' savings

By Maria Castellucci  |  September 11, 2018

The Medicare Shared Savings Program generated $1.84 billion in savings over three years, which is nearly twice the savings CMS data show, according to a new study commissioned by the National Association of ACOs.

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