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TOOLBOX: New Rules: MA & Part D

TOOLBOX: New Rules: MA & Part D

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CMS Star Ratings - A Primer Toolbox

CMS Star Ratings - A Primer

The Centers for Medicare and Medicaid Services (CMS) publishes annual star ratings for nursing homes,  Medicare Advantage plans, hospitals and home health agencies. Ratings are based on a number of performance measures on a scale of one to five stars.  The CMS site can often times be cumbersome and difficult to navigate, with...
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Members-Only Toolbox: Population-Based Payment Models

Health Care Payment Learning & Action Network (HCPLAN) White Papers explore Population-Based Payment Models and their effects What is a Population-Based Payment Model (PBP)? A PBP is like an Accountable Care Organization. Population-based payments allot a group of providers a set amount of money for patient care. If the group comes...
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Members Only Toolbox: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Making sense of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) The Medicare Access and CHIP Reauthorization Act of 2015 will facilitate a transition in the healthcare system from a fee-for-service payment delivery system to a value-based system. The law establishes two new payment delivery models that shift the...
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Members Only Toolbox: Telehealth and Telemedicine

A deeper look at the expanding practice of telemedicine American Medical Association: Coverage of and payment for telemedicine The AMA recognizes telemedicine as a vital part of expanding healthcare coverage to those in rural areas, while also helping to curb the cost of care. As telemedicine spreads throughout the nation, the AMA...
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Members Only Toolbox: Next Generation ACO

A look at the Next Generation Accountable Care Organization CMS Slideshow: Next Generation ACO Model There are six basic principles of the Next Generation ACO Model: Protect Medicare Fee-for-Service (FFS) beneficiaries’ freedom of choice; Allow beneficiaries a choice in their alignment with the ACO; Create a financial model...
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Members Only Toolbox: CMS Open Payments

CMS' collection of manufacturers and group purchasing organizations payments and transfers to physicians and teaching hospitals Learn more about  the 2015 Open Payments Program and System Overview including: What is Reported Who is Responsible for Reporting Who is Reported On Types of Payments Process...
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Members Only Toolbox: CMS Video Series - Preparing for ICD 10

CMS Countdown to ICD-10: 10 Facts About ICD-10 https://youtu.be/PXZ3XOYYyn4   Introduction to ICD-10 Coding https://youtu.be/NNbTcMwrop8   ICD-10 Coding & Diabetes https://youtu.be/AEW2cXqXTSQ          
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Organizations Band Together Calling on CMS to Keep Next-Gen Testing in Medicare

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CALENDAR
Feb
22
Fri
2019
all-day ACMA 6th Annual Case Management ... @ Hilton Doubletree Resort
ACMA 6th Annual Case Management ... @ Hilton Doubletree Resort
Feb 22 all-day
ACMA 6th Annual Case Management & Transitions of Care Conference @ Hilton Doubletree Resort
 ACMA Arizona Chapter 6th Annual Case Management & Transitions of Care Conference   Who Should Attend? Case managers, Nurses, Social workers, Case management leaders, Physician Advisors, Physicians, Students and more What You’ll Get: • Innovative[...]
Mar
13
Wed
2019
8:00 am 3rd Annual Value-Based Seminar @ San Marcos Resort
3rd Annual Value-Based Seminar @ San Marcos Resort
Mar 13 @ 8:00 am – 3:30 pm
3rd Annual Value-Based Seminar @ San Marcos Resort
 AzHFMA One Day Event Co-Sponsored By The Hertel Report Third annual one-day value based seminar!  This year our theme is combining technology, care management systems, and institutional will to meet the quadruple aim.  Similar to[...]
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