On June 20, 2018, the Centers for Medicare & Medicaid Services and Department of Health and Human Services issued a “request for information” (RFI) seeking input on strategies to reduce the burden of the federal physician...more
Many observers view the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) as a game changer for the delivery and payment of health care services.
On Oct. 14, 2016 the Centers for Medicare & Medicaid Services...more
11/2/2016
/ ACOs ,
Alternative Payment Models (APM) ,
CEHRT ,
Centers for Medicare & Medicaid Services (CMS) ,
Electronic Health Record Incentives ,
Health Care Providers ,
Healthcare ,
Medicaid ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
MIPS ,
Physician Medicare Reimbursements ,
Physicians ,
PQRS ,
Quality Payment Program (QPP)
On Oct. 14, the Centers for Medicare & Medicaid Services (CMS) published a final rule with comment period implementing the bipartisan Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The nearly 2,400 pages of...more
11/1/2016
/ ACOs ,
Alternative Payment Models (APM) ,
Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Electronic Health Record Incentives ,
Fee-for-Service ,
Final Rules ,
Health Care Providers ,
Healthcare ,
Meaningful Use ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Medicare Part B ,
Medicare Shared Savings Program ,
MIPS ,
Physician Medicare Reimbursements ,
Physicians ,
PQRS ,
Quality Payment Program (QPP) ,
Sustainable Growth Rate (SGR)
Furthering the agency’s stated intention to pay for value over volume, the Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule representing the first expansion of mandatory hospital-centric bundled...more
On May 9, 2016, the Centers for Medicare & Medicaid Services (CMS) published a notice of proposed rulemaking to implement the bipartisan Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Although the...more
In This Issue:
- ACO Eligibility Requirements
- Establishing and Maintaining the ACO Participation Agreement
- Data Sharing and Assignment of Beneficiaries
- Shared Savings and Losses
- Waivers of...more
7/7/2015
/ ACO Participant Agreements ,
ACOs ,
Centers for Medicare & Medicaid Services (CMS) ,
Data-Sharing ,
Electronic Health Record Incentives ,
Healthcare ,
Medicaid ,
Medicare ,
Medicare Shared Savings Program ,
Skilled Nursing Facility ,
SNF
In This Issue:
- Summary of Next Generation ACO Model
- Summary of Additional Guidance on ACO Pre-Participation & Participation Waivers
- For More Information
- Excerpt from Summary of Next...more
In This Issue:
- What Providers Should Know
- Requirements for Inpatient Admissions and Payment Under Medicare Part A
- New Rules Permitting Re-billing Under Medicare Part B for Denied Admissions
- New HAC...more
In a recent open letter, the Illinois Department of Financial and Professional Regulation (the "Department") advised providers of cuts in the Department's Medical Unit that will negatively impact the state's healthcare...more
In This E-Alert:
- Notable ATRA Provisions
- Medicare Extensions
- Other Health Provisions
- Other Health Extensions
- Excerpt from Notable ATRA Provisions:
Medicare Physician Payment Update...more
On January 7, 2012, the OIG posted Advisory Opinion No. 12-22 to address a co-management arrangement between a hospital and physicians that is designed to align incentives by offering compensation based on quality, service,...more
In response to the government’s continued focus on improving quality of care through payment policy, several changes to new and existing regulatory requirements recently came about through the 2013 Inpatient Prospective...more