Medicare Shared Savings Program produces substantial savings
In six years, the Medicare Shared Savings Program (MSSP), has grown to include 561 participating accountable care organizations (ACOs) serving
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CMS
Judge throws out CMS 2014 rule, now how will CMS determine whether it has overpaid
On Friday, the U.S. District Court for the District of Columbia granted UnitedHealth’s motion for summary judgement and vacated CMS’s
Read MoreUnwitting Patients, Copycat Comments Play Hidden Role In Federal Rule-Making
(By Sarah Jane Tribble for Kaiser Health News) A proposal to sharply cut a drug discount program that many hospitals
Read MoreMedicare Part B Policy Change effective January 1, 2019
Under the new policy to beginning January 1, 2019, Medicare Advantage enrollees may be required to use lower-cost alternatives to
Read MoreProposed payment changes could influence hospitals’ acquisition strategies
(By Kelly Gooch and Ayla Ellison for Becker’s Hospital Review) CMS’ 2019 Medicare Outpatient Prospective Payment System proposed rule ,
Read MoreStarting in 2020, Medicare Advantage plans will have the flexibility
Medicare Advantage plans will have the flexibility to target non-medical health-related services to those members who have chronic care conditions
Read MoreMedicare to cover some home visits for Next Gen ACOs
(By Morgan Haefner for Becker’s Hospital Review ) CMS told Medicare contractors Aug. 10 that certain care management home visits
Read MoreThese ten Medicare Advantage health plans exceeded industry standards
Medicare Advantage plans are growing in popularity as seniors seek comprehensive coverage for acute and chronic care needs. The attached
Read MoreCMS gave Medicare Advantage plans the ability to use step therapy
The Centers for Medicare and Medicaid Services (CMS) gave Medicare Advantage (MA) plans the ability to use step therapy for
Read MoreCMS drops proposal to reduce public reporting of hospital infections, safety issues
(By Megan Knowles for Becker’s Hospital Review ) CMS will publicly disclose hospital errors, injuries and infections it proposed removing
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