The American Hospital Association (AHA) has asked CMS to adjust the final Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) rule for FY 2023, noting concerns about the proposed...
The Medical Group Management Association (MGMA) has asked CMS to update the federal independent dispute resolution (IDR) portal to streamline the arbitration process for determining an out-of-network...
The CMS Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model reduced Medicare fee-for-service episode payments for both surgical and medical episodes, according to a new report for CMS...
Value-based payment programs tie healthcare reimbursement rates to quality care by offering providers incentive payments to meet specified quality measures during and after healthcare delivery.
As the industry moves away from...
CMS will reweight the cost performance category under the Merit-Based Incentive Payment System (MIPS) for the 2021 performance period due to the COVID-19 pandemic’s impact on clinicians and cost...
CMS has released its Hospital Inpatient Prospective Payment System (IPPS) proposed rule for fiscal year 2023, which includes a payment rate boost for general acute care hospitals and new measures...
CMS has updated its surprise billing guidance to require independent dispute resolution (IDR) entities to consider more than just the qualifying payment amount (QPA) when determining reimbursement...
CMS has released its proposed Skilled Nursing Facility (SNF) Prospective Payment System (PPS) rule for fiscal year 2023, which includes a reduction in Medicare payments for SNFs.
The proposed payment...
CMS has issued a proposed Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) rule for FY 2023, which introduced an update to IPF Medicare payments and included comment requests on...
CMS has released its proposed Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) rule for FY 2023, which included an increase in IRF payment rates and updates on the IRF Quality...
CMS has introduced a proposed rule for fiscal year 2023 that includes an increase in hospice payments and an aggregate cap on negative wage index changes.
Under the rule, hospices would see a 2.7...
The Workgroup for Electronic Data Interchange (WEDI) expressed concerns to CMS regarding the good faith estimates policy under the No surprises Act and the problems it causes for providers and patients...
The American Hospital Association (AHA) has asked CMS to work with Congress and require Medicare Advantage plans to waive prior authorization processes during the current and future public health...
More than 200 healthcare organizations, including Physicians for a National Health Program (PNHP) and the American Medical Student Association, have urged CMS and HHS to terminate the ACO REACH model,...
The American Hospital Association (AHA) has asked CMS to adjust the good faith estimates policy under the No Surprises Act, citing the accompanying administrative burden and operational inefficiencies...
The Senate has approved a resolution that seeks to repeal the COVID-19 healthcare worker vaccine mandate. The House of Representatives has not made such a vote, meaning as of now the vaccine mandate...
The National Association of ACOs (NAACOS) has launched a coalition to help providers learn about and prepare for the new ACO Realizing Equity, Access, and Community Health (REACH) model.
The coalition...
The American Hospital Association (AHA) has asked CMS to reconsider its methodology for distributing residency slots to teaching hospitals, which the agency finalized in the hospital inpatient...
CMS has overhauled the Global and Professional Direct Contracting model and announced the ACO Realizing Equity, Access, and Community Health (REACH) model. The redesigned accountable care organization...
A group of former appointees under the Obama administration are urging federal officials to preserve the Global and Professional Direct Contracting model, stating that the model helps accountable care...
