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Medicare

Latest Headlines

Latest Headlines

Why healthcare providers can't back down on SGR repeal

While there is no guarantee it will pass, there is hope that lawmakers' latest proposal to repeal the Sustainable Growth Rate formula will succeed. As with past attempts to do away with the formula, the $210 billion price tag, only $70 billion of which would be offset, is the key hurdle that may prevent Congress from passing the legislation, according to  FierceHealthFinance.

Appeals court invalidates CMS contract with RACs

It may be back to square one in the Centers for Medicare & Medicaid Services' bid to create new pacts with recovery audit contractors. The U.S. Court of Federal Appeals has invalidated the current proposed contract with RACs, primarily due to their violation of U.S. acquisition regulations

AHA supports bill to repeal Independent Payment Advisory Board

The Independent Payment Advisory Boardmay be one of the most obscure yet unpopular components of the Affordable Care Act. And the nation's hospital sector has added its voice to those against the IPAB,  AHA News Now  has reported.

Alternative quality care contracts can be 'backbone' for payment reform

The alternative quality care contract that Blue Cross Blue Shield of Massachusetts has had in place since 2009 could serve as a payment reform "backbone" for other insurers as they increasingly reward quality, efficient care, according to a new report from Avalere Health.

Chronic care management: 4 steps to implementation

Medicare's new chronic care management program offers practices of all specialties a major opportunity to reap revenue from services they've thus far provided for free. With 1,000 qualified patients, a practice could earn an additional $511,200 per year, noted an article from  Medscape.

Survey: Most practices to implement chronic care management within a year

Despite lingering challenges, most providers plan to take advantage of Medicare's new code for chronic care management (CCM), according to preliminary results of a survey conducted by population health technology developer Kryptiq.

Why aren't seniors using Medicare's free obesity counseling?

Although Medicare now offers its obese members with free face-to-face obesity counseling, very few Medicare members have actually taken advantage of the benefit. In fact, just 50,000 seniors received obesity counseling in 2013.

Smaller hospitals tend to fare better with patient satisfaction bonuses

If your hospital management wants to score a patient satisfaction bonus from Medicare, it pays to be a smaller facility that focuses on a particular specialty, according to Kaiser Health News. 

CMS aims to change how providers, payers pay for cancer treatment

The Centers for Medicare & Medicaid Services is planning to implement new specialty payment and delivery models designed to improve oncology care at a lower cost for Medicare beneficiaries, the agency recently  announced.

Medicare will cover lung cancer screenings

Medicare will now cover lung cancer screenings by low-dose CT scans for members between 55 and 77 years old, according to a Centers for Medicare & Medicaid Services announcement.