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.
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
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.
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.
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.
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.
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.
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.
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 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.