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December 08, 2017 | Daily News

Congress' Medicare pay advisers plan to vote in January on a draft recommendation to eliminate and replace the Merit-based Incentive Payment System, which Commissioner David Grabowski said belongs in the “bad pay for performance hall of fame.”

November 17, 2017 | Daily News

Half of doctors would lose money each time they administer drugs if Medicare cuts are triggered by Republicans' tax-overhaul legislation, according to those following the tax reform legislation.

November 16, 2017 | Daily News

A former Obama administration CMS official said Monday (Nov. 13) she worries that the move away fee-from-service reimbursement and toward alternative pay models is losing momentum.

November 08, 2017 | Daily News

The Physician-Focused Payment Technical Advisory Committee chair and vice chair asked lawmakers on Wednesday (Nov. 8) to consider letting PTAC help doctors with technical aspects of alternative pay models, giving doctors in APMs more claims data and allow for limited small-scale testing of new models.

November 03, 2017 | Daily News

Many of Congress’ Medicare advisers said Thursday (Nov. 2) they could support replacing the Merit-based Incentive Payment System with an alternative the commission is developing, but two commissioners disagreed.

November 02, 2017 | Daily News

To hospitals' dismay, CMS cut pay for off-campus departments in the 2018 physician fee schedule, though that cut was not as large as the agency's initial proposal.

November 02, 2017 | Daily News

CMS added numerous codes to its list of telehealth services in the 2018 Medicare Physician Fee Schedule, released on Thursday (Nov. 2) The agency also announced the agency is adopting recommendation’s from the American Medical Association’s Medicare Association-Relative Value Scale Update Committee (RUC), without as many refinements as in the past.

October 25, 2017 | Daily News

The American Medical Association is among the 119 medical groups calling for lawmakers to give CMS three more years to implement aspects of the Quality Payment Program's Merit-based Incentive Payment System as experts and advisory panels are separately calling for other changes.

October 25, 2017 | Daily News

Heritage Foundation Senior Fellow John O'Shea, who as a former congressional staffer helped draft the Medicare Access and CHIP Reauthorization Act, says the program likely won't reach its goals to reward value over volume unless substantive changes are made to how the law is implemented -- and he says one way to salvage it is to make Medicare Advantage a bigger part of the Quality Payment Program.

August 18, 2017 | Daily News

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.

August 18, 2017 | Daily News

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.

July 10, 2017 | Daily News

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.

June 20, 2017 | Daily News

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.

June 20, 2017 | Daily News

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.

June 14, 2017 | Daily News

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.

April 18, 2017 | Daily News

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.

March 22, 2017 | Daily News

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.”

February 17, 2017 | Daily News

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.

November 04, 2016 | Daily News

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.

November 02, 2016 | Daily News

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.

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