The proposed rule for Year 3 of the Quality Payment Program (QPP) may boost participation and cut paperwork for eligible clinicians. Proposal adds ten new quality measures and dumps dozens of "low value" measures.
Providers, healthcare organization executives, association heads, and other stakeholders have until September 10 to...National News
BPCI Advanced will qualify as an Advanced Alternative Payment Model (APM) under the Quality Payment Program.
BPCI Advanced will operate under a total-cost-of-care concept, in which the total Medicare fee for services (FFS) spending on all items and services furnished to a BPCI Advanced Beneficiary during the Clinical Episode,...National News
A major shift in the 50-year-old program, the guidelines will set the conditions for allowing states to add work requirements to their Medicaid programs, bringing a conservative twist to the health insurance program for the poor.
The Hill reports the changes represent the vision of Seema Verma, the administrator of the Centers for...
The 21st Century Cures Act requires changes to the risk adjustment model for aged and disabled beneficiaries enrolled in Medicare Advantage Part C plans beginning in calendar year 2019.
For 2019, the agency proposes adding mental health, substance use disorder and chronic kidney disease conditions to the risk adjustment model and...
Not everyone will be happy.
November 2 the Centers for Medicare and Medicaid Services exposed the final rule implementing the changes. The rule is 1,250 pages long. You may wish to read it here. Thoughtfully included are the names and phone numbers of staff that can be contacted for more information , listed by topic areas.
For the...National News
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 telehealth services such as maintaining the telecommunications equipment, software and security.
Researchers in Wisconsin caution that...National News
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
Most of the cuts were called for in the Affordable Care Act, which mandated the reduction to address Medicare overpayments for home health services dating back to 2000.
The rule exposed Tuesday called for a 0.4 percent reduction for providers in 2018. In a major change, CMS is proposing to reimburse for home healthcare in 30-day...National News
A 1058 page proposed rule to craft 2018 Updates to the Quality Payment Program is released.
Changes announced Tuesday afternoon feature continuation of "pick your pace" for the new payment system's data reporting and expands exemption of physicians from mandatory participation. "The most significant proposed changes for 2018 intend...