Stephen Weiner

Stephen Weiner

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Recent Developments in Massachusetts Health Policy

Building on the momentum of early October hearings on the state’s growing health care expenditures, the Health Policy Commission (HPC), the Joint Committee on Health Care Financing, Governor Charlie Baker, and others spent...more

10/26/2015  /  Alternative Payment Models (APM) , Competition , Controlled Substances , Drug Pricing , Governor Baker , Health Care Providers , Health Insurance , Healthcare , Healthcare Costs , Healthcare Fraud , Hospitals , Innovation , Licenses , Medicaid , Nurse Practitioners , Pain Management , Pending Legislation , Performance Improvement Plans , Physicians , Public Health , Rebuttable Presumptions , Reimbursements , Substance Abuse , Telehealth , Telemedicine , Transparency , Value-Based Payments

Delivery System Reform 2.0: Scaling Alternative Payment Models is the New Normal

For some health care providers, a pair of recent announcements made by the Obama Administration to implement mandatory alternative payment models (APMs) for home health value-based purchasing and bundled payments for hip and...more

7/15/2015  /  Affordable Care Act , Alternative Payment Models (APM) , Beneficiaries , BPCI , Centers for Medicare & Medicaid Services (CMS) , CMMI , Comment Period , Fee-for-Service , Health Care Providers , Health Insurance , Healthcare , Healthcare Reform , Home Health Agencies , Home Health Care , Hospitals , Medicaid , Medicare , Medicare Part A , Medicare Part B , OASIS , Obama Administration , Physicians , Value-Based Purchasing

FTC Says New York’s Medicaid Redesign Program May Promote Anticompetitive Behavior

In an April 22, 2015 letter to the New York State Department of Health (DOH), the Federal Trade Commission (FTC) cautioned that part of the State’s Medicaid reform program may sanction anticompetitive behavior. The FTC’s...more

5/8/2015  /  Alternative Fee Arrangements , Anticompetitive Behavior , Antitrust Provisions , Department of Health and Human Services (HHS) , DSRIP , Federal Trade Commission (FTC) , Healthcare Reform , Medicaid , State Medicaid Programs

CMS Releases MSSP and Pioneer ACO Data on Shared Savings and Losses – Where Do We Go From Here?

On September 16, 2014, the Centers for Medicare & Medicaid Services (CMS) announced key shared savings and losses results of Accountable Care Organizations (ACOs) that began participating in the Medicare Shared Savings...more

9/24/2014  /  ACOs , Centers for Medicare & Medicaid Services (CMS) , Healthcare , Medicaid , Medicare , Medicare Shared Savings Program

SGR Reform—Improved Outlook for Congressional Action This Year?

What is the SGR? The Sustainable Growth Rate (SGR) formula was enacted in 1992 as a statutory means of controlling Medicare spending by calculating annual updates to the Medicare physician fee schedule. The fee...more

10/25/2013  /  Centers for Medicare & Medicaid Services (CMS) , Healthcare , Medicaid , Medicare , Physician Fee Schedule , Physician SGR Formula , Sustainable Business Practices

Effect of a Government Shutdown on Medicare, Medicaid, and Other ACA-Related Operations

If the federal government is forced to shut down as a result of a budget impasse in Congress, discretionary programs and federal employees would be the most affected, while payments for Medicare services, the Affordable Care...more

9/26/2013  /  Affordable Care Act , Government Shutdown , Medicaid , Medicare
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