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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.

Unwitting patients, copycat comments play hidden role in federal rule-making

Unwitting patients, copycat comments play hidden role in federal rule-making

By Sarah Jane Tribble  |  September 11, 2018

A proposal to sharply cut the 340B drug discount program drew some 1,400 comments when the Trump administration announced its plan last year. But a review of the responses found that some individuals had no memory of signing anything, much less sending their opinions about it.

Editorial: Payment reform tests positive

Editorial: Payment reform tests positive

By Merrill Goozner  |  September 07, 2018

New analyses of the major payment reforms begun during the Obama years suggest they do in fact lower healthcare spending. While the savings are small, they provide a strong argument for HHS Secretary Alex Azar to step up the pace of value-based reimbursement reform.

Providers worry CMS rule will limit infusion drug use at home

Providers worry CMS rule will limit infusion drug use at home

By Virgil Dickson  |  August 31, 2018

Providers are urging the CMS not to finalize a rule that could prevent patients from taking infusion drugs at home. If the agency moves forward with the plan, it could lead to higher Medicare costs as more patients may need to seek treatment at hospitals.

Medicare ACOs saved CMS $314 million in 2017

Medicare ACOs saved CMS $314 million in 2017

By Maria Castellucci and Virgil Dickson  |  August 30, 2018

The 472 Medicare ACOs generated a total of $1.1 billion in savings in 2017, allowing the CMS to make a $313.7 million gain from the program after dishing out bonuses. The savings come as the CMS looks to overhaul the program.

Could patient input improve hospital ratings' accuracy?

Could patient input improve hospital ratings' accuracy?

By Maria Castellucci  |  August 29, 2018

RAND Corp. researchers suggested that hospital rating sites could be improved by allowing consumers to adjust the weight of quality measures used. But healthcare consumer analysts still don't think it can solve fundamental issues with the sites.

Hospitals give CMS their Stark law wish list

Hospitals give CMS their Stark law wish list

By Virgil Dickson  |  August 29, 2018

The CMS has received more than 300 suggestions on how it can reduce the burden of anti-kickback laws on providers, ranging from revising what is considered a referral to giving providers protection for unintentional violations.

CMS vows to curb costs of state Medicaid demonstrations

CMS vows to curb costs of state Medicaid demonstrations

By Susannah Luthi  |  August 22, 2018

The CMS is tightening its financial oversight of state Medicaid waiver demonstrations, warning it would withhold approvals unless states show the changes won't cost the federal government more money.

5 burning questions senators had for Seema Verma

5 burning questions senators had for Seema Verma

By Susannah Luthi  |  August 21, 2018

CMS Administrator Seema Verma faced senators for the first time since her confirmation Tuesday. Here are five major policy questions the Senate Homeland Security and Governmental Affairs Committee had for her.

GAO urges scrutiny of Medicaid managed-care organizations

GAO urges scrutiny of Medicaid managed-care organizations

By Susannah Luthi  |  August 21, 2018

The U.S. comptroller general urged a Senate panel to tighten oversight of Medicaid providers and managed-care plans, and criticized the Obama administration's lax auditing of Medicaid insurers as millions joined the rolls through expansion.

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