Healthcare providers and other industry leaders are still facing significant challenges with value-based care adoption, but provider incentives and market consolidation could help accelerate the...
As the comment period for the proposed 2020 Medicare Physician Fee Schedule rule drew to a close on Friday night, CMS received over 30,000 comments, including letters from major industry groups...
Overall physician compensation increased by a median of 2.92 percent in 2018, up from a 0.89 percent increase the previous year, revealed a survey conducted by AMGA’s subsidiary AMGA...
Care coordination and planning are becoming increasingly important to caring for the millions of Medicare beneficiaries suffering from two or more serious health conditions, such as diabetes and heart...
CMS could have saved an additional $2.9 million in 2017 if the agency lowered Medicare reimbursement for more Part B drugs through price substitution, the HHS Office of the Inspector General (OIG)...
A new analysis of hospital inpatient claims for individuals with employer coverage revealed that consumers and employers are paying significantly more for hospital-based inpatient services largely...
A new study in Health Affairs found evidence that patients in the Military Health System received potentially low-value care, but the amount of low-value care varied by how the providers were...
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...
In a new report, the Congressional Budget Office (CBO) says establishing a single-payer healthcare system would involve substantial changes to coverage, provider payment rates, and financing methods,...
Extending and establishing site-neutral payments for outpatient services is the key to lowering healthcare costs, a coalition of patient advocates, providers, payers, and employers recently told...
The healthcare industry is committed to moving to value-based reimbursement. However, like many transformations in healthcare, the shift away from fee-for-service has been a long journey.
CMS and...
Electronic claims management adoption by plans and providers is at or above 80 percent for three of the seven transactions analyzed in the most recent CAQH Index.
The CAQH 2018 Index showed adoption...
Finalizing the consolidation of Medicare billing codes for evaluation and management (E/M) outpatient and office visits is the first step for CMS as the federal agency modernizes the payment structure...
Healthcare industry groups remain concerned about collapsing evaluation and management (E/M) payment rates for most office visits, but the groups are generally more supportive of the final E/M payment...
CMS will collapse evaluation and management (E/M) payment rates, but not until the 2021 calendar year, according to the recently released final 2019 Physician Fee Schedule (PFS) rule.
After industry...
Physicians and other healthcare professionals recently welcomed proposed evaluation and management (E/M) documentation changes from CMS that would reduce administrative burden and streamline Medicare...
Physician compensation increased by just 0.89 percent in 2017, marking the first year that provider salaries have grown less than two percent in over a decade, AMGA recently reported.
The 31st annual...
CMS recently proposed several changes to Medicare physician payments and MACRA’s Quality Payment Program to reduce medical billing and administrative burden. But initial reactions from medical...
Independent physicians and practices are turning to consultants to make the transition to value-based care and stay competitive in a shifting market.
The latest research from Black Book shows...
CMS greenlighted an expansion of an all-payer alternative payment model in Maryland that allows the state to set hospital reimbursement rates, the office of Governor Larry Hogan recently...
