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…

Continue Reading →

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…

Continue Reading →

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…

Continue Reading →

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…

Continue Reading →

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…

Continue Reading →

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,…

Continue Reading →

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…

Continue Reading →

Effect Of Risk Adjustment Of Affordable Care Act On Small Plans

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 adjustment and as per the data, many small insurers had to pay for both years. The report also shows the details of payout of the reinsurance…

Continue Reading →

AAFP Suggests CMS To Reconsider MACRA

The commenting period set by CMS on the MACRA implementation has ended now. Following that, the American Academy of Family Physicians (AAFP) asked the Centers for Medicare & Medicaid Services to reconsider and slow down with their Medicare Access and CHIP Reauthorization Act (MACRA) implementation. Robert Wergin, chair of the AAFP Board of Directors said,…

Continue Reading →

Oncology Care Model Aims To Reduce Cancer Cost – CMS

The Centers for Medicare & Medicaid Services recently announced that 196 practices would be participating in their proposed Oncology Care Model (OCM). CMS says that OCM is designed to decrease the expenditure for oncology without compromising on quality of care. In view of that, Sylvia M. Burwell, Secretary of Health and Human Services said “…the…

Continue Reading →

Page 4 of 7