The FY 2020 IPPS final rule included a slew of Medicare payment updates, including a 3.1 percent boost in hospital reimbursement and a new hospital wage index system. But also contained within the...
CMS is receiving praise from major industry stakeholders after proposing to retract a recent final rule that will collapse evaluation and management (E/M) codes and pay providers a blended rate for...
CMS is planning to overhaul reporting for the Merit-Based Incentive Payment System (MIPS) in order to make the pay-for-performance program less burdensome and more meaningful to providers, according a...
CMS recently released a final rule that will increase inpatient Medicare reimbursement by a net of 3.1 percent in fiscal year (FY) 2020, as well as modify the hospital wage index, technology payments,...
CMS has released three new proposed payment programs that aim to reduce administrative burden, put patients over paperwork, and increase price transparency for patients, the agency said in a statement...
In a speech opposing Medicare for All and single payer proposals, CMS Administrator Seema Verma outlined a different vision for lowering healthcare costs: inserting competition in the healthcare...
On July 10, 2019, CMS proposed a mandatory radiation oncology bundled payment model that aims to improve the quality of care for cancer patients undergoing radiotherapy treatment and reduce provider...
CMS is considering a number of changes to the home health prospective payment system (PPS) in CY 2020 and 2021, including making the home infusion benefit permanent and further implementing a new...
Following President Trump’s Advancing Kidney Health executive order, CMS announced one mandatory and four voluntary alternative payment models (APMs) to address chronic kidney disease and...
CMS is postponing the implementation of outpatient prospective payment system (OPPS) claim edits that would require hospitals and health systems with multiple locations to list provider addresses on...
CMS recently finalized an update to the Medicare reimbursement policy for transcatheter aortic valve replacement (TAVR), a minimally invasive procedure to replace a narrowed aortic valve does not open...
CMS recently issued a proposed rule that aims to significantly reduce provider burden by implementing electronic prior authorization for medications prescribed through Medicare Part D.
Specifically,...
Reducing the regulatory burden of practicing medicine is critical to decreasing the high healthcare costs produced by provider consolidation, CMS Administrator Seema Verma recently...
CMS’ request for information on a new direct contracting model presents a unique opportunity for financial risk in healthcare, but the “lack of detail makes it difficult for providers to...
CMS recently finalized a rule that aims to streamline the Medicare appeals process and reduce provider burden by eliminating signature requirements for appeal requests.
The rule published on May 7...
A new final rule from CMS prohibits states from paying a portion of Medicaid payments for providers to third parties, including unions for home health workers.
Released May 2, the Medicaid Provider...
Provider groups and healthcare executives are on board with Medicare’s new Primary Cares Initiative, which will shift primary care from fee-for-service to at-risk value-based reimbursement models...
HHS recently announced that CMS will launch the Primary Cares Initiative in 2020, which will give about one in four primary care providers the opportunity to receive value-based reimbursement and...
CMS is seeking a 2.3 percent, or $195 million, increase in Medicare payments to inpatient rehabilitation facilities (IRFs) in the fiscal year (FY) 2020, according to a newly proposed rule.
The...
Starting June 11, providers can submit notices of intent to apply to participate in the overhaul of the Medicare Shared Savings Program (MSSP), dubbed Pathways to Success, CMS recently announced on its...
