Medicare & Medicaid News

AMA, CMS Lead Discussion on Evolving Healthcare Market Today

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The American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) are pairing up to lead a discussion today about the ongoing state of the evolving healthcare market. The...

CMS, HHS Get Social with $157M in Medicare, Medicaid Funding

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The Department of Health and Human Services (HHS) has revealed a new 5-year $157 million funding opportunity this week to help advance the overall quality and affordability of Medicare and...

CMS Tackles Value-Based Purchasing Pilot Program Questions

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Competition across the nation for value-based payment incentives is underway with the start of a new year. Nine states, each representing a different geographic region, have implemented the...

CMS Says Information Technology Builds Healthcare Delivery

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The Centers for Medicare & Medicaid Services (CMS) is beginning the New Year with a happy and healthy resolution tied to the significance of health information technology (IT). CMS declared in an...

Why the Value-Based Care Journey Begins with Assessment

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How to find value in the value-based care reimbursement movement is one goal the healthcare industry will likely be striving for in 2016. As Medicare, Medicaid, and commercial health plans continue to...

How a Palliative Care Focus Eases Healthcare’s Cost Burdens

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As physicians across the country mull over their New Year’s resolutions this week, the overarching desire for a healthy revenue cycle will likely be a common theme. Physicians often struggled with...

How Advanced Care Discussions Impact Provider Payment Focus

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Critical end-of-life discussions between a physician, a patient, and a patient’s family or loved ones, are perhaps being glossed over more and more because of reimbursement challenges. The Centers...

Considering Healthcare Providers’ Value-Based Risk Burdens

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Value-based reimbursement may not be good for revenue cycle management. Increasing levels of financial risk may be setting healthcare providers back, but to what extent and at what cost? As the...

CMS’s Quality Measurement Development Plan Supports MIPS, APM

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2016 may be an especially good year for healthcare providers when it comes to matters of revenue cycle management. The Centers for Medicare & Medicaid Services (CMS) recently posted a 63-page...

How CMS’s Proposed IMPACT Act Impacts Healthcare Providers

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Every patient who steps foot into a hospital – from the college quarterback with a broken collarbone to the octogenarian diagnosed with numerous comorbidities – may soon require a discharge...

10 Standout Revenue Cycle Management Quotes of 2015

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Actions speak louder than words. But sometimes, the pen is indeed mightier than the sword.  Here are 10 selected quotes (presented in no particular order), exclusive to...

CMS Releases Fee-for-Service Data for Home Health Agencies

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The Centers for Medicare & Medicaid Services (CMS) is striving once again to make the healthcare industry more  transparent, affordable, and accountable with the dissemination...

Why HOPD Medicare Expenditures Need Equalized Payment Rates

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Medicare expenditures for hospital outpatient departments (HOPD) services are apparently on the rise, especially in recent years. A new report to Congressional requesters from the United States...

Pew Recommends CMS Reconsider EHR Advance Care Plan Updates

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Making decisions in life is not always easy. End-of-life care decisions are no exception. The Centers for Medicare & Medicaid Services (CMS) recently proposed numerous revisions to the physician...

Dec. 18: Week That Was in Healthcare Fraud and Malpractice

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Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General (OIG). The crimes...

CMS Shares New Qualified Entity Program Growth Developments

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It is an exciting time for healthcare, says the Centers for Medicare & Medicaid Services (CMS). Notable transparency developments are underway, wrote Niall Brennan, CMS Chief Data...

Keeping an Eye on the Affordable Care Act: 2015 in Review

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The Affordable Care Act (ACA) has come a long way over the past 12 months. It is intended, as the name implies, to make health insurance more affordable and make sure more patients greater levels of...

Why Successful Healthcare Executives Focus on Education

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The Affordable Care Act (ACA) aims to increase the number of people with health insurance by expanding Medicaid coverage nationwide. Are targets being hit or merely glossed over? Medicare Part D...

Why Patient Advocacy is the New Future of Healthcare Reform

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There is power in numbers, especially when it comes to healthcare reform. A group of 9 major patient advocacy groups – AIDS United, American Liver Foundation, Amputee Coalition, the Christopher...

Physicians List Top 5 Value-Based Payment Success Factors

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Physicians say lack of time is one of the leading obstacles they face regarding value-based care delivery, according to a study from the American Academy of Family Physicians (AAFP). One-third of...