Medicare Advantage Premiums Decrease in 2016
Written by Bob Herman // September 21, 2015 // Modern Healthcare Nearly all Medicare Advantage members have access to plans that charge no monthly premium, and more people are enrolling in what the...
View ArticleFour States Are Not Ready for ICD-10
September 23, 2015 // MGMA Washington Connection On a provider call earlier this week, the Centers for Medicare & Medicaid Services (CMS) confirmed that four state Medicaid agencies will be unable...
View ArticleTop ICD-10 FAQ’s
Centers for Medicare & Medicaid Services // September 25, 2015 With the ICD-10 compliance date less than 10 days away, your practice may already be seeing patients whose claims will be submitted...
View ArticleCMS Pending ICD-10 Progress Update
Written by Sara Heath // October 2, 2015 // EHR Intelligence On October 1, the healthcare industry began ICD-10 compliance after countless months of preparation. In a CMS post, Deputy Administrator and...
View ArticleMeaningful Use Stage 3 Rules Released, More Changes Expected
Written by Joseph Conn // October 6, 2015 // Modern Healthcare The Obama administration, under pressure from Congress and the healthcare industry to ease its mandates for the use of electronic health...
View ArticleCongress Urged for Action as Medicare Part B Premiums Expected to Increase
Written by Shannon Muchmore // October 14, 2015 // Modern Healthcare Advocates for Medicare enrollees and state Medicaid offices say Congress needs to intervene to prevent an expected 52% spike in...
View ArticleThe Transition to ICD-10 Moving Smoothly, Pending Next Hurdles
Written by Joseph Conn // October 16, 2015 // Modern Healthcare Healthcare providers, payers and claims clearinghouses have rolled past another major milestone in the full implementation of the ICD-10...
View ArticleHealthcare Spending Cuts Proposed in Federal Budget Deal
Written by Shannon Muchmore // October 27, 2015 // Modern Healthcare (This story was updated at 1:55 p.m. ET.) Providers and policy experts say that while doctors and hospitals are facing some cuts in...
View ArticleHealthCare.gov Announces 2016 Premiums and New Site Updates
Written by CNBC // October 26, 2015 When consumers turn on their laptops and tablets Monday morning, they should be able to check premiums for 2016 under President Barack Obama’s health care law. Rates...
View ArticleCMS Issues Changes to the Medicare Physician Fee Schedule for 2016
CMS // October 30, 2015 On October 30, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating payment policies, payment rates, and quality provisions for services...
View ArticleOver Half of ACA Co-Ops Are Off the Market
Amy Goldstein // November 3, 2015 // The Washington Post More than half of the nonprofit health insurance co-ops formed through the Affordable Care Act are now off the market for the coming year, with...
View ArticleCMS Announces 2016 Premiums and Deductibles for Medicare Parts A & B
CMS // November 10, 2015 Today, the Centers for Medicare & Medicaid Services (CMS) announced the 2016 premiums and deductibles for the Medicare inpatient hospital (Part A) and physician and...
View ArticleCMS Receives Cautionary Remarks on Doc Fix’s Measures
Written by Shannon Muchmore // November 16, 2015 // Modern Healthcare Hospital and physician groups are cautioning the CMS that it needs better measures before it ties physician pay to quality and...
View ArticleIncreased Payments Expected Soon for Dual Eligible Plans
Written by Virgil Dickson // November 18, 2015 // Modern Healthcare The CMS now intends to increase payments in 2016 for health plans that cover people who are dually eligible for Medicare and Medicaid...
View ArticleCMS Submits Rule for Minimum Network Standards for ACA Health Plans
Written by Bob Herman and Virgil Dickson // November 20, 2015 // Modern Healthcare The CMS has proposed mandating minimum network standards for health plans sold on the federal insurance marketplace in...
View ArticleA Look at Urgent Care: Enhancing Healthcare with Continued Growth
TripleTree // November 2015 A TripleTree review of how urgent care is at the epicenter of transformative changes occurring in U.S. healthcare, helping solve cost and quality issues while enabling the...
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Growth in U.S. Healthcare Spending Rises to $3 Trillion
Written by Bob Herman // Modern Healthcare // December 2, 2015 (This story was updated at 6:15 p.m. ET.) The Affordable Care Act expanded health coverage to millions of Americans in 2014. Because more...
View ArticleCMS Released 2017 Medicare Advantage Payment Rates
Written by Bob Herman // Modern Healthcare // December 2, 2015 Health insurers that sell Medicare Advantage plans are primed for bigger pay bumps in 2017. It’s a preliminary sign that the days of stark...
View ArticleSubmit Informal Review Requests to CMS by Dec. 16 to Prevent Penalties
California Medical Association // December 14, 2015 Problems with how the Centers for Medicare and Medicaid Services (CMS) has been collecting and analyzing data related to the Physician Quality...
View ArticleComments on Meaningful Use Rule Pushing for Modifications and Delay
Written by Joseph Conn // December 16, 2015 // Modern Healthcare The federal government’s $31.7 billion electronic health-record incentive payment program needs to be refocused on promoting...
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