Tag Archives: Medicare

MedPAC discusses draft 2018 payment recommendations for post-acute care

The Medicare Payment Advisory Commission this week discussed draft recommendations that would forgo increases in or reduce Medicare payment rates in 2018 for home health agencies, skilled nursing facilities, inpatient rehabilitation facilities and long-te Continue reading

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Four Evidence-Based Strategies to Improve Medicare

With the increase in beneficiaries from the aging baby boomer generation inevitably will come a larger price tag. This is leading many policy and industry experts to speculate and worry about the program’s long term ability to provide quality and afforda Continue reading

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More Medicare APM Options for Docs

CMS expects to re-open applications for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model and new participants in the Next Generation Accountable Care Organization (ACO) model for the 2018 performance year. Continue reading

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OIG Releases Another Scathing Report on Chiropractic & Medicare

The Office of the Inspector General of the Department of Health and Human Services released a report dated October 2016 entitled: Hundreds of Millions in Medicare Payments for Chiropractic Services Did Not Comply with Medicare Requirements. Continue reading

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CMS Rescinds Erroneous Medicare Nursing Home Policy  || CMA

CMS has rescinded limiting changes to the scope and purpose of Medicare’s SNF coverage. The policy changes, issued this September, misstated and limited nursing home (SNF) coverage and care available under Medicare. Continue reading

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Humana, Cigna stocks fall in face of lower CMS’ updated Medicare star ratings

Humana is facing significant blows to its membership and finance. Meanwhile, Aetna – with whom Humana has a pending merger – said the percentage of its Medicare member enrolled in 4-star plans or higher went up 4 percentage points from last year to 91%. Continue reading

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Defining High-Value Providers for ACO Partnerships

As the health care industry moves towards population-based models of care, providers are seeking partnerships to help manage the continuum of services. Collectively, these briefs are intended to give provider leadership guidance on how to begin the evalua Continue reading

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Medicare ACO savings results ‘incredibly unsatisfying,’ MedPAC says

Price increases, not a larger senior population, are responsible for exploding healthcare costs: and may signal the need for changes to the program, Medicare Payment Advisory Commission officials said last week. Continue reading

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Can Medicare ACOs Learn from Commercial ACOs?

Online survey data show that accountable care organizations (ACOs) with commercial contracts outperform ACOs with public-payer contracts on selected measures of quality and process efficiency. These differences in performance are linked to variation in or Continue reading

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Federal court denies HHS request for delay in Medicare appeals backlog case

A DC federal court trial judge today denied the government’s request to delay further proceedings in a case brought by the AHA and three hospital organizations to compel the Department of Health and Human Services to meet its congressionally mandated dead Continue reading

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