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Quality of Care Standards Alternative Payment Models (APM)

Baker Donelson

CMS Brings Changes to Nursing Home Compare and Five-Star Ratings in April 2019

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On April 11, 2019, CMS announced updates to Nursing Home Compare and the Five-Star Quality Rating System. The Nursing Home Compare website contains data, including quality measures and staffing information, for more than...more

Sheppard Mullin Richter & Hampton LLP

House Republicans Push Back on Medicare’s New Mandatory Bundled Payment Models

On July 25, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule that promises to deliver coordinated, high-quality care for Medicare beneficiaries. The proposed rule (effective July 1, 2017)...more

King & Spalding

Also In The News - Health Headlines - October 2015 #3

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CMS Announces Part D Enhanced Medication Therapy Management Model Demonstration – On September 28, 2015, CMS announced a Part D Enhanced Medication Therapy Management Model (Enhanced MTM Model) that is designed to assess...more

King & Spalding

MedPAC Suggests Streamlining CMS’s Proposed Performance-Based Physician Payment System

King & Spalding on

On September 8, 2015, the Medicare Payment Advisory Commission (MedPAC) released its comments to the proposed rule that will begin implementing the new Merit-Based Incentive Payment System (MIPS) for physician services, in...more

Foley & Lardner LLP

2014 Medicare ACO Results Released: CMS Asserts Success but Few ACOs Receive Payments

Foley & Lardner LLP on

The Centers for Medicare and Medicaid Services (CMS) released, on August 25, 2015, the quality and financial performance results for Medicare Accountable Care Organizations for 2014. CMS touted that Medicare ACOs continued to...more

King & Spalding

CMS Proposes to Revise Payment System for Joint Replacements

King & Spalding on

On July 9, 2015, CMS released a proposed rule to revise how it pays for joint replacement procedures like hip and knee replacements, also known as lower extremity joint replacements (LEJR). This payment structure, called the...more

Baker Donelson

Proposed 2016 Physician Fee Schedule Would Impact Medicare Shared Savings Program

Baker Donelson on

The proposed Physician Fee Schedule for 2016 [PDF] contains several provisions that are likely to have an impact on the Medicare Shared Savings Program (MSSP). These provisions focus in large part on quality measures and the...more

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