The final MACRA rule aims to reform Medicare payment model and offer more flexibility to physicians by simplifying some difficult data reporting requirements. However, some experts argue that the...
It is the time of the year when Medicare beneficiaries in the US are allowed to make changes to their existing health insurance plans. They are also allowed to...
A recent report released by the House Energy and Commerce Committee stresses on the failures of Consumer Operated and Oriented Plan (CO-OP) program from CMS. The non-profit startup insurers,...
The Department of Health and Human Services (HHS) has now released a interim final rule that increases the maximum Civil Monetary Penalty (CMP) amounts for those agencies that are...
The Chambers of Congress has found a way to fund the government through early December by passing a short-term Continuing Resolution (CR). This decision from the congress came just...
The recently released “scathing” report from the Government Accountability Office (GAO) provides an insight on health information technology threats and cyber security preparedness. GAO reported that many investigations lead...
The Office of the National Coordinator for Health IT has requested officials to test pilot a tool, called C-CDA Scorecard. Reports say that the tool is designed to grade...
A massive data breach was uncovered by the Arizona health system Banner Health recently. Officials believe that the cyber attackers were trying to target the computer systems at Banner...
Vindell Washington, MD., has now stepped in as the National Coordinator for Health IT at the Department of Health and Human Services (HHS) Office of the National Coordinator for...
It is evident that both the presidential candidates share different opinions on health care reforms. Where Republican candidate, Donald Trump is planning to revoke the ACA, Democratic candidate Hillary...
The Centers for Medicare and Medicaid Services released a statement recently, which stated that the one-year grace period for ICD-10-coded medical claims would conclude by October 1, 2016. The...
In a recent letter to CMS acting Administrator, Andy Slavitt, the Healthcare Information and Management Systems Society (HIMSS) has asked for a quick finalization of a 90-day reporting period...
The United States Department of Justice (DOJ) recently filed a lawsuit to block the proposed mergers of Aetna-Humana and Anthem-Cigna. DOJ has cited reduced competition in many of the...
CMS recently announced that they have approved the plans of Arizona to allow new enrollment in the Children’s Health Insurance Program (CHIP). Enrollment for the plan was put on...
It has been a year since insurers, Anthem and Aetna, announced their plans to merge with Cigna and Humana, respectively. However, the merger plans are not yet approved by...
The Department of Justice recently published the results of their largest takedown on Medicare fraud. Almost 301 individuals were arrested in the process and the total frauds accumulated to...
Regional health insurers and many other small co-op plans incurred big charges under the Affordable Care Act’s risk adjustment program. The year 2015 is the second year of risk...
The American Academy of Family Physicians (AAFP) recently joined hands with four other organizations in its attempt to expand the ranks of primary care physicians to where they are...
The Subcommittee on Oversight and Investigations conducted a hearing last month to analyze frauds and abuse within the federal healthcare programs. The hearing was chaired by Tim Murphy (R-PA-...
The Department of Health and Human Services (HHS) was recently accused by two House Republicans for the holding up of off-label marketing guidelines by FDA. The lawmakers sent a...