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...Top of The Day
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...Top of The Day
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...Top of The Day
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...Top of The Day
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...Top of The Day
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...Top of The Day
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...
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...
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...
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...Top of The Day
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...Top of The Day
After the "Repeal & Replace" attempt failed, Trump tweeted "let ObamaCare implode, then deal" .
There are six things the president can do to hobble the Affordable Care Act. Here is the status of each:
Weaken enforcement of the individual mandate. IN PROGRESS
Impose work requirements for Medicaid recipients. IN PROGRESS
...Top of The Day
Consumers can conveniently access care.
Banner Health seeks to become more consumer focused with the opening of three new retail-based health clinics in August. The Banner Quick Care clinics will be located in Safeway grocery stores in Chandler, Tempe and Tucson.
The Chandler and Tempe locations will open on Aug. 1, and the Tucson...
Consumers (that's all of us) can access information about carriers with rate increases of 10 percent or more.
The Arizona Department of Insurance has received threshold rate increase filings (increases of 10% or more for at least one plan) for the following insurers and markets:
Blue Cross and Blue Shield of...
Senator Lamar Alexander (R-TN) will begin work in early September on legislation to “stabilize and strengthen the individual health insurance market” for 2018.
Alexander, the chairman of the Senate Health, Education, Labor and Pensions (HELP) Committee plans to work with the committee's ranking Democrat, Senator Patty Murphy...
After emotional speech about getting back to a real legislative process, John McCain derails an attempt to deliver something, anything for President Trump to sign.
Years of brutal partisanship, studies, polls, promises and threats came to a climax on the Senate floor at 1:30 am Friday.
Senator John McCain (R-AZ), returned to...
Lawmakers could not shrink Medicaid - waivers can.
Medicaid is a $500 billion program with unprecedented growth the past four years and now covers 75 million people.
Josh Archambault, senior fellow for the conservative Foundation for Government Accountability, said without congressional action on the health bill “the...