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SGR

Friday, 18 August 2017

CMS' proposal to cancel mandatory bundling demonstrations would have a small impact on the new Medicare physician pay system, provider lobbyists say, because although that system aims to get doctors to join alternative pay models, the pay models CMS wants to cancel are designed for hospitals.

Friday, 18 August 2017

Despite proposing to downsize the mandatory Comprehensive Care for Joint Replacement demonstration and cancel the Episode Payment Models and Cardiac Rehabilitation models without proposing replacements, experts do not believe CMS will be able to roll back bundled payments as an alternative payment model, and they expect the agency to move toward voluntary bundles created with more input from physicians and hospitals.

Monday, 10 July 2017

The White House Office of Management and Budget on July 7 finished reviewing the proposed annual pay rule for physician services, and a drug industry lobbyist said there has been talk of CMS using that regulation to raise the idea of Part B drug reimbursement changes that could be demanded in a future presidential executive order.

Tuesday, 20 June 2017

CMS proposed Tuesday (June 20) to exempt more doctors from the performance measures of Medicare's new physician pay rule, delay measuring doctor performance on cost, allow doctors in small and rural practices to form “virtual groups,” award bonus points to the performance scores of doctors in small practice and delay a required upgrade to physicians' electronic health record systems.

Tuesday, 20 June 2017

Policies to watch for in the physician pay system regulation that the White House Office of Management and Budget finished reviewing last week include changes to the reporting burden, the resource use component of the Merit-Based Incentive Payment System and virtual groups.

Wednesday, 14 June 2017

CMS told doctors in alternative pay models they all should expect 5 percent bonuses in the first year of the new pay system, which a former CMS official said comes as a relief to doctors who weren't sure they qualify for the bonus and now don't have to worry about their performance in the Merit-Based Incentive Payment System.

Tuesday, 18 April 2017

The White House Office of Management and Budget is reviewing a CMS proposed rule that offers an opportunity for the new administration to put its mark on the physician pay system under development by CMS, called the Quality Payment Program.

Wednesday, 22 March 2017

CMS says it is aiming to get doctors information on whether they meet the volume thresholds for participating in the Merit-based Incentive Payment System this spring, and the Medical Group Management Association says the lack of eligibility notifications is “generating considerable frustration and confusion.”

Friday, 17 February 2017

Physician groups recommend that CMS simplify Medicare's system for measuring doctor performance, lower the amount of risk doctors must meet to get a 5 percent bump in pay, seriously consider advice from the panel that advises CMS on alternative pay models and cut regulations on electronic health records.

Friday, 04 November 2016

Despite health insurance industry opposition, CMS plans to disclose data, after a five-year delay, that Medicare Advantage and drug plans use to set bids.

Wednesday, 02 November 2016

CMS is basing adjustments to Medicare global surgical pay on a sample of physicians and services, instead of making all practitioners submit claims data on pre- and post-operative visits as proposed by the agency this summer to the displeasure of providers and lawmakers.

Tuesday, 18 October 2016

CMS says it's unclear what effect the recently announced pilot to reduce contractor audits of doctors participating in pay models with two-sided risk will have on Medicare's improper payment rate, though the agency has also said it believes the pilot will continue to protect Medicare program integrity.

Monday, 17 October 2016

CMS reduced the number of electronic health record requirements and shortened the reporting period to 90 days in the physician-pay system regulation published Friday (Oct. 14).

Friday, 14 October 2016

CMS significantly revamped the MACRA physician pay rule in the final version, issued Friday (Oct. 14), to make it easy for physicians to avoid penalties and to earn bonuses, and the agency is leaving the final rule open for comment to make it easier to revise.

Wednesday, 21 September 2016

Backing providers, a bipartisan group of House lawmakers asked CMS to ease off its proposed approach for collecting data to adjust Medicare global surgical pay.

Thursday, 15 September 2016

CMS on Wednesday (Sept. 14) sent the final rule for the highly anticipated MACRA physician pay system to the White House Office of Management and Budget for review.

Thursday, 08 September 2016

If providers submit at least some data, including information dating after Jan. 1 of next year, to the Quality Payment Program, they'll avoid pay cuts under the new pay system under development by CMS, Acting Commissioner Andy Slavitt announced in a blog post.

Wednesday, 07 September 2016

Republican and Democratic leaders of two House committees are urging CMS officials to make industry-backed changes to the agency's proposed physician pay system.

Thursday, 01 September 2016

Medicare Trustees warn that future MACRA pay cuts and ACA productivity adjustments could lead to future provider shortages in Medicare unless lawmakers step in.

Wednesday, 03 August 2016

Providers and patients are concerned with the behavioral health measures that CMS proposed to include in the physician pay system created by the Medicare Access and CHIP Reauthorization Act (MACRA).

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