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...National 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...National 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...National 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...National 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...National 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...National 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...National 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...National News
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...
The public comment period ended August 7, 2017; advocacy groups made a last-ditch effort to plead their case on behalf of patients.
More than 75 consumer advocacy groups spoke out to save an Obama-era rule allowing patients to sue nursing homes over neglect, sexual assault, or abuse.
The Centers for Medicare and Medicaid Services...National News
Appellate Court decision allows states to defend ACA's cost-sharing reductions.
A Washington, D.C. appellate court ruled that state's attorneys general have legal standing to sue to receive the Affordable Care Act's cost-sharing reduction subsidies.
The decision adds some clarity and relief to state-level officials as President...National News
Jerome Adams M.D., replaces Rear Admiral Sylvia Trent-Adams who became acting surgeon general after Vivek Murthy, M.D., was fired by the Trump administration in April.
Adams is an anesthesiologist from Indiana and teaches at Indiana University School of Medicine. He was appointed Indiana's health commissioner by Vice...National News
The five-point agreement seeks to add a degree of certainty in health care markets.
Congressman Tom O'Halleran, D-Sedona and Representative Martha McSally, R-Tucson, saw an opportunity to bring some reason to the process.
The biggest proposal calls for mandatory funding of cost-sharing reduction payments, which help insurers reduce...National News
Insurance industry lists changes that can support the markets.
Since attempts to stabilize the individual market through legislation are at an impasse, major insurance companies, including Centene, Cigna and the Blue Cross and Blue Shield Association, say there are things that can be done by HHS administratively to bolster the...