Medicare's accelerating move to bundled payments for episodes of care will drive hospitals and physicians to pay more attention to what happens to patients after they leave.
The CMS wants to ease enrollment on the federal insurance marketplace and keep it affordable by expediting the application process and signing up some people who are rejected for Medicaid.
A new mandatory program would make hospitals in 98 markets financially accountable for the cost and quality of all care associated with bypass surgery and heart attacks. It would also add new procedures to the hip and knee pilot launched this year.
The CMS is considering making tweaks to its controversial Open Payments policy to ensure accuracy of payment data posted by providers.
The November elections surely won't end the nonstop, eight-year political war over the shape of the U.S. healthcare system. But the ballot results likely will determine whether the changes driven by the ACA continue in the same direction or the system returns to its previous, less-regulated form.
This is not a time for procrastinators as Medicare physician reimbursement undergoes its biggest change since its launch in 1965.
For the next four years, California's public hospitals will collectively receive up to $472 million annually to cover hospital visits for the uninsured as part of a waiver meant to reform the state's Medicaid program.
Indiana's Medicaid expansion will likely continue despite Gov. Mike Pence withdrawing from the state's gubernatorial race to join Donald Trump as his running mate.
The CMS has selected 516 physician practices to take part in an experiment intended to change the way providers identify and manage cardiovascular disease.
"Tread carefully on measures of patient satisfaction” criticizes satisfaction surveys for focusing on trivia (“a hospital is not a hotel nor a theme park”); encouraging docs to prescribe inappropriate or harmful meds to earn good scores; and yielding subjective data that don't...
The single life may prove troublesome for specialty group practices under MACRA. David Fitzgerald, CEO of Proliance Surgeons in suburban Seattle, said specialty practices are in the dark about their fate under the new physician reimbursement system.
Roughly 100 national and state medical societies are backing a bill that would exempt drug and device makers from have to report payments made to doctors for participating in continuing medical education or receiving textbooks, journals and educational materials related to CME.