Skilled-nursing facilities that "overutilized" therapy are restructuring to adapt to the new patient-driven payment model, leaving a number of therapists in the lurch. »
The CMS achieved savings from the Medicare Shared Savings Program last year, marking the second consecutive year the agency turned a profit from the program.
Hospitals are in favor of the CMS' proposed changes to medical billing coding and opioid treatment payments, but they're worried that changes to quality measures could hurt providers.
The announced goal of 75% by the end of 2020 comes despite concerns that providers and plans have moved more slowly than hoped into value-based arrangements.
The CMS finalized how it will calculate $4 billion in cuts to state Medicaid DSH payments. Congress will likely delay the cuts until Nov. 21.
Dialysis centers and patient advocacy groups urged the CMS to reconsider several key areas of its end-stage renal disease pay model, claiming it limits patient choice and discourages care.
Hospitals scored a big court win on site-neutral payments, but people who want to see payment reform warn that the issue isn't going away.
A federal judge ruled that HHS exceeded its authority when it cut rates for basic visits at off-campus hospitals, handing a win to providers.
About 90,000 clinicians who participated in advanced alternative payment models in 2017 are concerned they still haven't received bonuses from the CMS.
The CMS is proposing bundled payments for radiation therapy to cut Medicare spending. Providers are worried about the impact on quality and their bottom lines.
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