CMS To Launch A Tool To Assess The Impact Of MACRA

The Centers for Medicare & Medicaid Services is planning to launch a new tool to help clinicians assess the potential impact of Merit Based Incentive Program (MIPS) on their reimbursement. The tool is also aimed to help them evaluate their performance under the system and offer tips to improve their scores. Report say that the…

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CPC+ Regions For Medicare Programs Announced

CMS’ Center for Medicare and Medicaid Innovation (CMMI) recently announced their new Comprehensive Primary Care Plus (CPC+) program. This program is aimed at rewarding quality and value among the primary care providers. The CPC+ care program contains two tracked reward systems, out of which, the first track includes a Per Patient Fee in addition to…

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Trial Dates Declared For Alleged Mergers

The Department of Justice has challenged two major insurance mergers on antitrust grounds and the trial dates are now set for the mergers. Aetna has received a trial date of Dec 5 for DOJ’s antitrust challenge of its merger with Humana. The trial date obviously puts pressure on intended deadline of Aetna to finish the…

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Medicare ACO Performance Improved – CMS

The Centers for Medicare and Medicaid Services released the 2015 quality and financial performance results for Medicare Accountable Care Organizations (ACO) on August 25, 2016. The Medicare ACO program, which is a product of the Affordable Care Act (ACA), is a network of healthcare professionals who agree to be responsible for the cost and quality…

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HHS Aiming To Bring In More Insurers

Federal officials are continuing to make operational adjustments in health law marketplaces and they are meeting insurers to encourage them to offer interesting plans in those areas of the country that are forecasted as low on competition. In addition to this, HHS is now focusing on outreach efforts to reach the uninsured individuals, especially those…

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ONC Sets New Standards On Health Data Sharing

The Office of the National Coordinator for Health IT has set a few new standards in their latest draft on how data should be shared by the Electronic Health Record systems. As per the new rules, hospitals and clinicians in the country must meet the standards set by the Interoperability Standards Advisory, to be eligible…

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Opioid Crisis – HHS Offers Fifty Three Million To Fight Back

The U.S. Department of Health and Human Services has now announced that they will offer fifty three million dollars in funding to forty-four states, four tribes, and Columbia District in the country. This fund is to be used against opioid addiction. Experts say that the funding will help to pay for advanced data collection and…

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Barack Obama Proposes Changes To Healthcare Reform Law

President Obama has recently proposed changes to his signature healthcare reform law in order to fix some of its important issues and to check the insurer exits from the marketplace exchanges. CMS Acting Administrator, Andy Slavitt said in a blog post that the proposals makes exchanges an attractive place to do business and removes “potential…

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Unjustified Payment Cut In IPPS Final Rule

CMS is continuing to move Medicare program to paying providers on quality rather than on quantity of the care offered to patients, as stated in the final rule for the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) PPS for FY 2017. The final rule appeared on Aug 22 in the Federal Register,…

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CMS Proposes Expansion To Its New Bundled Payment Model

CMS recently announced new proposals to expand its bundled payment model in association with the development of Alternative Payment Models. According to the proposal, 98 metropolitan areas selected by CMS will be subjected to a new bundled payment method for heart attack and bypass surgery. Comprehensive Joint Replacement (CJR) bundled payment model will also be…

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