Restrictions to be waived in the joint replacement model.
Stakeholders convinced CMS that the costs of email interaction was not covered by other sources and did entail additional costs to deliver of telehealth services such as maintaining the...News
It is an interactive tool called the "MIPS Action Plan".
MIPS (Merit-based Incentive Payment System) is one of the two components of the Quality Payment Program, which was created under the Medicare Access and CHIP Reauthorization Act (MACRA). Surveys have shown most physicians are not ready to participate in MIPS, nor do they have...News
After failure of "Repeal & Replace" measures, Harvard researchers examine the state of public opinion,
The New England Journal of Medicine published a report analyzing 27 national opinion polls by 12 survey organizations. It provides a look at four critical issues relevant to the previous House and recent Senate health care...News
Notable gains were noted in patient safety and person-centered care.
About 80% of the person-centered measures, two-thirds of the patient safety measures, 60% of the healthy living measures and half of the care coordination measures tracked in the report have improved since 2000, the agency said. While 20% of measures showed...News
The web site shows how more than 3,800 hospices perform on seven quality measures related to patient treatment preferences, managing pain and treating symptoms.
The Hospice Quality Reporting Program (HQRP) was established at section 1814(i)(5) of the Social Security Act. The Act also requires the Secretary to publicly report, on a...News
Carrying a $15 billion debt load, the Tennessee-based firm began to sell off hospitals in a turnaround plan.
Chinese billionaire Tianqiao Chen has increased his investment in CHS from a 13.8 percent stake to 22.1 in transactions totaling $71 million.
This in a company that ended the second quarter of this year with a net loss of...News
In 2008, 58 percent opposed. Latest survey shows 56 percent support.
Merritt Hawkins, a physician recruitment firm, surveyed 1033 responding physicians August 3. Red tape, billing and paperwork distractions were cited as negatives in the current system. The trend to fewer physicians owning practices also may also play a...
Nationwide study by Johns Hopkins shows staggering trends.
Three startling takeaways:
*Americans are being overcharged by more than $3 billion a year for ER services, according to data from Johns Hopkins School of Medicine.
*Bills can be nearly 13 times the rates paid by Medicare for the same services.
*Americans in the Southeast...
The subsidies are integral to insurers continuing to participate on the individual marketplaces.
President Trump is holding out the cessation of the CSR subsidies as a way to "Repeal & Replace" by causing the ACA to "implode".
The subsidies reimburse insurers for reducing deductibles, co-payments and other out-of-pocket costs...
HHS Secretary Tom Price and CMS Administrator Seema Verma have access to powerful tools.
HHS can help states combat the problems of raising rates and shrinking individual marketplaces. Here are four ideas that HHS and the states can explore and expand:
Expand state reinsurance options
Allow innovative pilot plan designs for high...News
Uncertainty over possible Congressional and Trump administration actions leave carriers uncertain whether to stay in marketplaces and what to charge,
The last six months have been anything but predictable for an industry based on ability to foresee risks and costs. Friday insurers received a letter from the federal Centers for...News
Steve Narang, MD wants to collapse silo's and be more patient-centric. Academic medical centers are special organizations with their own struggles. Traditional structure is focused on education, research and physician hierarchy. Costs are high and patients are disconnected.
Narang says Banner is embarking on a new structure based...News
American Medical Response, Maricopa Ambulance and ABC Ambulance join effort to persuade Arizona Department of Health to not grant a license to Dignity's Community Ambulance.Dignity Health, which operates Community Ambulance in the Las Vegas market, filed its application in June of 2016, saying the market lacked competition.
IPA and value-based provider advocate organization sends 21 page letter to CMS Director Seema Verma in response to the MACRA Quality Payment Program proposed rule. CAPG, which uses the tagline: The Voice of Accountable Physician Groups, outlines the reasons groups that take risk from capitation should have that work qualify them for the...News
CMS proposal could decrease hospital revenue, hospital officials say
Orthopedic surgeons and ambulatory surgery centers (ASCs) are excited by a new proposal by the Centers for Medicare and Medicaid Services (CMS) to pay for joint replacement surgeries performed in an outpatient setting.
CMS announced in mid-July that it was...
All of Arizona's Medicare ACOs have upcoming deadlines to submit their rosters of PCPs for 2018.
Like the Cardinals shoring up its roster for the upcoming NFL season, Arizona's Medicare ACOs are prepping for the 2018 MSSP ACO enrollment deadline. The MSSP deadline, which was set for August 30, 2017, has been delayed to September...
Mayo Clinic Hospital in Phoenix cracks the top 20 nationally for first time.
For the second year in a row, Mayo Clinic Rochester topped the best hospital rankings list by U.S. News and World Report. For the first time, an Arizona hospital makes the top 20 on the national list, called the "honor roll". That hospital? Mayo Clinic...
Tweeted by President Trump on Wednesday, August 9, the sentiment contrasts with a bipartisan effort to fix the Affordable Care Act.
Health and Human Services Secretary Tom Price also had pointed comments to Congress on Wednesday,
"Both folks in the House and the Senate, on both sides of the aisle frankly, have said that Obamacare...
CMS withdraws rules it hoped would increase transparency
The Centers for Medicare and Medicaid Services (CMS) decided it will not require accreditors to publish hospital and home health agency (HHA) inspection reports for public viewing after private accreditors and providers pushed back against the proposed rules.
To participate in MIPS, clinicians and groups must possess certified electronic health record technology (CEHRT) to participate in the advancing care information performance category of the program.
Under the Merit-based Incentive Payment System (MIPS) scoring, MIPS-eligible clinicians and groups may qualify for a re-weighting of...