The fix isn't in yet, but it's close. The Senate adjourned for its spring break Friday without taking action on legislation permanently repealing and replacing Medicare's sustainable growth-rate physician-payment formula.
It's unclear whether the Obama administration will renew Delivery System Reform Incentive Payment programs in several states, in part because evidence is mixed on whether the programs have truly improved care for large numbers of Medicaid beneficiaries and uninsured patients.
Narrow-network health plans have grown in popularity, particularly on the Affordable Care Act's insurance exchanges, because their cheaper premiums appeal to price-sensitive consumers, but there is significant consumer and provider dissatisfaction with how many of these plans are organized.
The American Orthotic & Prosthetic Association is proposing a change to Medicare's recovery audit contractor program that it contends would keep providers from suffering devastating financial losses while appealing disputed claims.
Hospitals are lobbying for an extension of the moratorium on enforcement of the “two-midnight” policy for short hospital stays that expires at the end of the month. They're hoping Congress will include the extension in action it takes this month on the Medicare physician-payment formula.
Electronic health-record interoperability is at the heart of the Office of the National Coordinator for Health Information Technology's half of a two-pronged federal rule-making effort announced Friday.
The federal electronic health-record incentive program has produced too few benefits for the cost involved and imposed overly harsh mandates on providers, said senators of both parties during a hearing Tuesday.
Medicare's new “Next Generation” accountable care organization program has raised hopes among many healthcare providers that the Obama administration is listening to them as it pushes ahead toward value-based payment models.
Regarding “MedPAC looks to discourage short stays, but sidesteps two-midnight rule”, this article shows the Medicare Payment Advisory Commission's true ignorance of managing ill patients in rural America.
Medicare is fast approaching its 50th anniversary: It was signed into law July 30, 1965. But don't expect a celebratory mood when Medicare experts and advocates gather in Washington for the March 20 event, “Honoring 50 Years of Medicare.”
Federal regulators last Thursday issued final rules regarding the cleaning and disinfecting of reusable medical devices such as the endoscopes that have been responsible for outbreaks of drug-resistant bacteria at a number of hospitals.
Patient-assistance programs, which often are funded largely by drugmakers, have helped many Americans afford the medications they need. But these programs' ties to pharmaceutical companies carry a high cost for the healthcare system, critics say.