The CMS may have overcorrected when it honored some hospitals' requests to cancel mandatory cardiac pay models. The move means hospitals that were ready to embrace the models could be out millions of dollars.
The CMS has kickstarted an experiment to determine if MACRA will lead to reduced Medicare spending.
Although most value-based pay models focus on primary care services, providers and policy experts hope the recent financial success of accountable care organizations targeting dialysis patients will lead to more disease-specific pay models.
The Puerto Rican healthcare system, which serves the 3.4 million people devastated by Hurricane Maria, operates under patently unfair Medicaid and Medicare funding rules.
A top CMS official agrees with an influential congressional advisory group that suggests a new Medicare pay model meant to encourage doctors to improve the quality of patient care needs work and plans to turn to industry stakeholders to help modify the initiative.
Cleveland Clinic is partnering with Humana to create two new Medicare Advantage health plans.
The CMS banned Via Christi Health from enrolling any more patients in its managed-care plan for dual-eligibles after finding numerous instances of poor patient care.
MACRA's approach to reimbursing physicians is here, but many doctors and administrators are still trying to get a handle on how it works. Read on for tips on how to deal with this major change to the Medicare payment system.
Amedisys, one of the nation's largest home health operators, is closing four locations in Florida and consolidating three more where it already has centers.
The influential congressional advisory committee wants to eliminate two quality programs and merge two others in order to reduce hospitals' reporting and compliance burden.
A Medicare pay model meant to encourage doctors to improve the quality of patient care should be junked as it's too burdensome and poses no benefit, according to an influential congressional advisory group.
HHS' OIG called on the CMS to collect medical-device specific information as part of its claims process, a move that could help the agency quickly identify poorly performing devices.