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News
Medicare's Pioneer program down to 19 ACOs after three more exit
By Melanie Evans | September 25, 2014 | Basic Web Basic Web Subscription Details
Three more accountable care organizations dropped out of Medicare's Pioneer program, which was designed to test the payment and delivery model with a small group of elite providers deemed best prepared to handle the operational demands and financial risks.
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News
CMS seeks to clarify coverage for autism treatment under CHIP, Medicaid
By Virgil Dickson | September 25, 2014 | Basic Web Basic Web Subscription Details
The CMS has moved to clarify confusion about a bulletin it released in July on coverage for comprehensive autism treatment under Medicaid and the Children's Health Insurance Program. Uncertainty centered on whether the CMS was mandating coverage for applied-behavior analysis therapy, a costly...
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News
GAO report criticizes lack of fiscal transparency on ACA spending
By Paul Demko | September 23, 2014 | Basic Web Basic Web Subscription Details
The CMS shows a lack of financial accountability and poor recordkeeping regarding federal healthcare law-related expenditures, according to a report from the Government Accountability Office.
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News
Insurers vying for Obamacare business signal healthy exchange markets
By Paul Demko | September 23, 2014 | Basic Web Basic Web Subscription Details
The number of insurers selling products on the state and federal exchanges will increase by at least 25% for 2015, the CMS announced Tuesday. There will be 77 additional health plans participating in the 44 states for which data is currently available. In 36 of the 44 states, there will be at least...
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News
Medicare gives first glimpse of ACO quality performance
By Melanie Evans | September 22, 2014 | Basic Web Basic Web Subscription Details
The CMS for the first time publicly released individual performance data for Medicare accountable-care organizations on 33 measures of healthcare quality.
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News
CMS urged to fix meaningful-use program flaw, prevent penalties
By Joseph Conn | September 22, 2014 | Basic Web Basic Web Subscription Details
Two members of Congress and the Medical Group Management Association are calling on the CMS to address a programming problem that threatens to saddle some physicians and other eligible professionals with Medicare payment penalties in 2015.
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News
QSSI's HealthCare.gov contract extended for eight months
By Virgil Dickson | September 22, 2014 | Basic Web Basic Web Subscription Details
The CMS has granted HealthCare.gov contractor Quality Software Services Inc. an eight-month contract extension worth up to $29 million, saying as it did with another recent award that time is too short prior to open enrollment beginning Nov. 15 to put the contract out to bid for new contenders.
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Magazine
Legislation requires hospice inspection every three years, and other briefs
By Modern Healthcare | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Legislation that requires hospice facilities to be inspected at least every three years cleared the U.S. House of Representatives and the Senate last week.
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Magazine
Stronger narrow network rules debated by experts
By Paul Demko | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Health plans with narrow provider networks have sparked broad controversy among healthcare providers and consumers. Insurers and employers are relying on them to keep premiums down and ensure quality, following experts who say such “value networks” are effective and necessary.
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Magazine
Device registries can be source of crucial data, and other letters
By Modern Healthcare | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Regarding “FDA gets push for device registries”, hip and knee implant registries incorporating refined data for comparative effectiveness, quality monitoring and public reporting are clearly necessary.
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