Patient-Driven Payment Linked to a Decrease in SNF Therapy Utilization
The implementation of the Patient-Driven Payment Model (PDPM) was associated with a decrease in the volume of rehabilitation therapy utilization, according to a study published in JAMA...Providers Dodged Major Medicare Payment Cuts But More Work To Be Done
Healthcare providers have evaded a nearly 10 percent reduction to their Medicare payments in 2022 thanks to swift Congressional action. However, more work still needs to be done to support physicians and hospitals as they navigate a...Sponsored by Brault
Impact of Future Medicare Cuts on Physician Reimbursement
Medicare is a federal health insurance program that serves seniors and people with disabilities. The program helps to pay for a variety of healthcare services, including hospitalizations, physician...Legislation Stopping Medicare Payment Cuts Clears Congress
UPDATE 12/10/2021: In a 59 to 35 vote on Thursday, the Senate passed legislation that will prevent statutory Medicare payment cuts from taking effect next year. The bill cleared the House earlier this...House Dems Look to Prevent Medicare Payment Cuts
UPDATE 12/08/2021: A deal has been reached to avert some of the pending Medicare payment cuts. Congressman Steven Horsford (D-NV) and Congresswoman Kim Schrier (D-WA) introduced the...Hospital Groups Want Congress to Delay 2% Medicare Sequester Cuts
UPDATE 12/03/2021: Congress passed a continuing resolution Thursday night, averting a government shutdown. However, it did not address pending cuts to Medicare reimbursement for hospitals and...MGMA Calls on Congress to Prevent Impending Medicare Cuts
The Medical Group Management Association (MGMA) wrote to the Ways and Means Committee and requested a hearing to prevent the imminent Medicare cuts described in the Physician Fee Schedule final rule...Medicare FFS Improper Payment Rate Hits Low of 6.26%
CMS continues to control improper payments in Medicare fee-for-service (FFS). The federal agency recently announced that the 2021 Medicare FFS improper payment rate hit a historic low of 6.26 percent...Automatic MIPS Participation Exemption for Individual Eligible Clinicians
CMS is exempting all individual eligible clinicians from Merit-Based Incentive Payment System (MIPS) participation in the 2021 performance year (PY). The eligible clinicians will receive an automatic...Study: Consecutive Penalties for Preventable Hospital Readmissions
More than 1,200 hospitals have faced penalties for preventable hospital readmissions every year for the last 10 years since the launch of the Hospital Readmissions Reduction Program (HRRP), according...CMS Releases Final Rule for CY 2022 Medicare Physician Fee Schedule
UPDATED CMS has finalized the calendar year (CY) 2022 Medicare Physician Fee Schedule to promote greater telehealth utilization, boost reimbursement rates for vaccine administration, and improve...Hospital Price Transparency Penalties to Increase Under OPPS Rule
Starting January 1, CMS will increase penalties for noncompliance with hospital price transparency requirements under the newly released Calendar Year (CY) 2022 Hospital Outpatient Prospective Payment...CMS Updates End-Stage Renal Disease APM, PPS to Address Health Equity
UPDATED CMS has made changes to the End-Stage Renal Disease (ESRD) alternative payment model, ESRD Treatment Choices, to directly address health equity. The ESRD Treatment Choices (ETC) Model is...High-Impact CARES Act Funds Were Disproportionately Distributed
Hospitals that had stronger pre-pandemic finances received a disproportionate amount of high-impact funds through the Coronavirus Aid, Relief, and Economic Security (CARES) Act, a JAMA Health Forum...Sponsored by Brault
