Comments 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...
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 ArticleThe CMS Proposed Rule to Allow Sharing of Medical Claims Data
Written by Joseph Conn and Sabriya Rice // January 29, 2016 // Modern Healthcare (Story updated at 12:30 p.m. Eastern) Some medical data miners may soon be allowed to share and sell Medicare and...
View ArticleCMS Issuing Reinsurance Payments for 2015 Enrollment
Written by Susan Morse // February 15, 2016 // Healthcare Finance Health insurers who sold plans through the marketplaces in 2015, and who covered high cost individuals can expect to get $7.7 billion...
View ArticleCMS and AHIP Announce Agreement for Quality Measures
Written by Melanie Evans // February 16, 2016 // Modern Healthcare (This story was updated at 4 p.m. Eastern.) The Obama administration and health insurers took a step Tuesday toward standardizing and...
View ArticleThe CMS Releases Final ACA Rules for 2017
Written by Ayla Ellison / Becker’s Hospital Review / March 1, 2016 CMS has released a final rule containing standards for health insurers selling coverage through the Affordable Care Act exchanges in...
View ArticleAffordable Care Act Receives Suspension on Insurance Taxes
Written by Bob Herman / March 1, 2016 / Modern Healthcare Congress’ decision to suspend the Affordable Care Act’s tax on health insurers for one year will cost the government $13.9 billion, funding...
View ArticleThe CMS is Enhancing Provider Enrollment Screening
February 24, 2016 // Healthcare Billing & Management Association In a February 22nd blog post, the Centers for Medicare and Medicaid Services (CMS) announced that it will implement new strategies...
View ArticleThe CMS is Searching for a Company to Develop a Star Rating Plan for Dual...
The CMS has announced that they are searching for a company to contract to create star rating plan measures for health plans that are for enrollees that are eligible for both Medicare and Medicaid....
View ArticleMedicare Proposes New Part B Drug Payment Model
According to a proposal released Tuesday by the Centers for Medicare & Medicaid Services, Medicare is proposing a new payment model for Medicare’s Part B program for prescription medications within...
View ArticleCMS Announces Lower 2017 Medicare Advantage Payments
On Monday, the Centers for Medicare and Medicare Services (CMS) announced that the average payments for 2017 Medicare Advantage plans will be lowered to 0.85%. Medicare Advantage plans are paid based...
View ArticleThe CMS Announces New Initiative for Primary Care
The CMS announced The Comprehensive Primary Care Plus initiative on Monday that plans to transform the delivery and reimbursement for primary care in the United States. In the initiative, the CMS will...
View ArticleCMS Postpones Star Quality Ratings
The Centers for Medicare and Medicaid Services (CMS) announced earlier this year that there will be a new release of star quality ratings for hospitals in the United States in an effort to assist...
View ArticleThe CMS Finalized An 85% Medical-Loss Ratio for Managed Medicaid
The Centers for Medicare and Medicaid Services (CMS) has announced a final ruling for the federal medical-loss ratio (MLR), setting it at 85%. The ruling states that 85% of insurer’s Medicaid revenue...
View ArticleQuality Payment Program Announced by CMS for Physician Payment
The Centers for Medicare and Medicaid Services (CMS) announced Wednesday a new quality payment plan called the Quality Payment Program, which is proposed to guide how the Medicare Access and CHIP...
View ArticleHealthcare Providers Competing to Attract Doctors, as the Number of Primary...
The number of primary care physicians in the nation is continuing to decrease, an issue that federally qualified health centers have typically faced, but has now become a greater burden. According to a...
View ArticleHealthcare Spending Rises to $3.2 Trillion in 2015
In 2015, healthcare spending in the U.S. rose to $3.2 trillion, which is a 5.5% increase in spending from 2014. Economists estimate that the national health spending rate will increase by an average of...
View ArticleMACRA – What You Need to Know
MACRA, the Medicare Access and CHIP Reauthorization Act of 2015, is slated to be in effect as soon as January 1, and it’s final rules are set to be released in November. MACRA changes the way in which...
View ArticleCMS Announces Hospital Star Ratings
The Center for Medicare and Medicaid Services released the Overall Hospital Quality Star Ratings that will be used to rate hospitals in the nation on the quality of the facility and services. The...
View ArticleAetna Pulls Out of ACA Markets in 11 States
Aetna announced on Monday that it will be reducing their participation in the Affordable Care Act, affecting 11 states. The health insurance giant’s move was due to a block by the DOJ of Aetna’s...
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