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CMS to take final APM snapshot of the year

CMS to take final APM snapshot of the year

By Rachel Z. Arndt  |  August 26, 2017

If providers in Advanced Alternative Payment Models don't meet certain requirements by the end of the month, they'll see a reduction in their Medicare payments in 2019.

Healthcare organizations ask CMS to harmonize EHR requirements

Healthcare organizations ask CMS to harmonize EHR requirements

By Rachel Z. Arndt  |  August 22, 2017

In comments on a proposed MACRA rule, healthcare organizations said they were happy that the CMS eased EHR requirements for the 2018 performance year, but they still want greater flexibility in which EHRs they could use.

Hospitals leery of CMS proposal to pay for joint replacements in ASCs

Hospitals leery of CMS proposal to pay for joint replacements in ASCs

By Harris Meyer  |  August 05, 2017

Many orthopedic surgeons and ambulatory surgery center operators are delighted with the CMS' mid-July announcement that it's considering paying for total knee and hip replacement procedures in outpatient settings. But lots of hospital leaders are not.

CMS pulls proposed rule to make private accreditor reports public

By Maria Castellucci  |  August 03, 2017

The CMS would have required accreditors like the Joint Commission to publicly release audits of healthcare facilities in order to promote transparency. The rule was immediately panned by stakeholders as unhelpful for patients.

Physicians with high-risk patients struggle under value-based pay model

Physicians with high-risk patients struggle under value-based pay model

By Maria Castellucci  |  August 02, 2017

A new JAMA study finds that physicians who see a large number of high-risk patients were more likely to receive a penalty in a value-based payment program, exacerbating concerns from critics that safety-net providers may suffer losses under MACRA.

CMS seeks greater authority to vet Medicare Advantage networks

CMS seeks greater authority to vet Medicare Advantage networks

By Virgil Dickson  |  July 20, 2017

The CMS plans to request greater authority from the White House to ensure Medicare Advantage plans have adequate provider networks. Currently, the agency has limits on how frequently it can review plans for compliance with federal standards.

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