It's Christmas in July for Medicare-participating physicians—though the gift is far from being delivered. On Wednesday, the House Energy and Commerce Committee unanimously passed bipartisan legislation to repeal Medicare's sustainable growth-rate formula and replace it with a stable system of payments to the nation's physicians.
For years, Congress has waited until the end of the calendar year to stave off a steep Medicare payment cut to physicians with a temporary fix.
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The for-profit assisted-living industry came under the harsh spotlight of PBS' “Frontline” investigators Tuesday night as the news program took Seattle-based Emeritus Corp. to task for a number of deaths and injuries involving residents with dementia at Emeritus facilities across the country.
Emeritus, which was founded in 1983 and has 483 facilities around the country, is the one of the country's biggest assisted-living operators.
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Supporters of the healthcare reform law got some good news from a survey just released by the healthcare policy briefing website The Morning Consult.
Nearly half of registered voters polled in the survey—47%—said they would be less likely to vote for a member of Congress in 2014 if the member tried to defund Obamacare as part of a federal budget package, compared with 28% who said they would be more likely to vote for the member.
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The Obama administration's recent decision to delay the 2010 healthcare reform law's employer mandate by a year is estimated to increase the law's net cost to the federal government by $12 billion over 10 years, the nonpartisan Congressional Budget Office and Joint Committee on Taxation announced Tuesday. A relatively modest cost increase was predicted when the mandate delay was announced.
House Budget Committee Chairman Paul Ryan (R-Wis.) had requested that the CBO and JCT assess the effects of the July decision to postpone for one year the law's provision that employers provide insurance to their workers or else pay a penalty. In a six-page report, the CBO noted that its May 2013 baseline projections had estimated the Patient Protection and Affordable Care Act's insurance provisions would cost the federal government about $1.36 billion between 2014 and 2023. After the Treasury department's recent announcement, the CBO recalculated those projections and now estimates the insurance coverage measures in the law will cost the federal government about $1.375 billion over that same 10-year period.
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The American Nurses Association wants the federal government to require insurers selling plans on state insurance exchanges to have at least a certain percentage of advanced practice registered nurses in their provider networks.
The ANA proposed the minimum level would be equal to 10% of the number of APRNs who independently bill Medicare Part B in a state.
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It's hard to get doctors to follow practice guidelines.
Despite the publication of numerous guidelines on the management of routine back pain, physicians surprisingly are not following the advice, and “guideline-discordant care” is on the rise, according to a study posted on the JAMA Internal Medicine website.
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Greater proportions of not-for-profit and government hospitals than for-profit hospitals qualified for at least one category of Medicare payment adjustments last year, according to new findings from the Government Accountability Office.
About 97% of government-owned hospitals and 90% of not-for-profit hospitals paid by the Medicare program received at least one form of increased payment to the standard inpatient prospective-payment system last year.
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A bipartisan House bill has been introduced that would require disclosure of Medicare payment information on individual physicians and other healthcare providers and suppliers, to enable the public to compare providers of services.
A companion bill has been pending in the Senate since June, and one Senate spokesperson says the final proposal may be added to the upcoming “doc fix” legislation to come later this year that would change how Medicare doctors are paid under the sustainable growth-rate formula.
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Eight out of 10 eligible hospitals and 58% of eligible physicians and other medical professionals have received payments totaling $15.5 billion under the federal electronic health record incentive payment program, according to the latest CMS data.
Through June, 4,024 hospitals have shared nearly $9.2 billion dollars to adopt, implement, upgrade and/or meaningfully use certified EHRs under the Medicaid and Medicare EHR incentive payment programs created by the American Recovery and Reinvestment Act of 2009.
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Highmark's turn to try to stanch losses at Pittsburgh's West Penn Allegheny Health System has begun.
Roughly 260 workers at the health system were laid off today and another 200 vacant jobs were eliminated. The four-hospital system, the hub of Highmark's new eight-hospital Allegheny Health Network, has hemorrhaged cash and lost patients in recent years. Now the system must shrink accordingly, said Dan Laurent, an Allegheny Health Network spokesman.
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Highmark's turn to try to stanch losses at Pittsburgh's West Penn Allegheny Health System has begun.
Roughly 260 workers at the health system were laid off today and another 200 vacant jobs were eliminated. The four-hospital system, the hub of Highmark's new eight-hospital Allegheny Health Network, has hemorrhaged cash and lost patients in recent years. Now the system must shrink accordingly, said Dan Laurent, an Allegheny Health Network spokesman.
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