Stephen Weiner on Medicare

New Rules for ACOs in the MSSP

CMS issued a final rule, published in the Federal Register on Friday, June 10, 2016, updating how the performance of ACOs participating in the Medicare Shared Savings Program (MSSP) is measured and compensated. This rule is...more

6/16/2016 / ACOs , Benchmarking , Centers for Medicare & Medicaid Services (CMS) , Final Rules , Medicare , Medicare Shared Savings Program

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

ACO Model Expansion Hinges on Increasing Medicare Program Flexibility

Earlier this month, HHS Secretary Silvia Burwell made a game-changing announcement about the Obama Administration’s most significant alternative payment model (APM). The Pioneer Accountable Care Organization (Pioneer ACO)...more

5/29/2015 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Medicare

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

Congress Moves Toward Permanent “Doc-Fix”

In a significant development, the House Ways and Means Committee and Senate Finance Committee each advanced its version of Sustainable Growth Rate reform legislation on Thursday, December 12. Thus, early next year, lawmakers...more

12/17/2013 / Medicare , Physician Medicare Reimbursements

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

Government Shutdown Aftermath: CMS Under Pressure to Finalize Medicare Payment Rules

..Because of the prolonged government shutdown, the Centers for Medicare & Medicaid Services (CMS) may encounter delays in promulgating final payment rules that would otherwise be effective January 1, 2014. ..It is...more

10/21/2013 / Centers for Medicare & Medicaid Services (CMS) , Home Health Care , Medicare , Payment Plans

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

Stephen Weiner

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