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SGR

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).

Thursday, 07 July 2016

CMS officials estimate that proposed changes to the Physician Fee Schedule would increase funding to primary care providers by $900 million next year.

Friday, 03 June 2016

The American Medical Association is urging the administration to change how it measures the interoperability of electronic health records, saying the current approach will force physicians to meet measures that do not make EHRs valuable for patients.

Tuesday, 31 May 2016

The House Energy & Commerce Committee's Telehealth Working Group is happy CMS included some of the group's recommendations in the recently issued MACRA Quality Payment Program proposed rule, praising the rule as a first step in promoting telehealth.

Friday, 20 May 2016

In response to hospitals' request, CMS plans to let hospital-employed doctors choose hospital performance measures for the Merit Based Incentive Payment program, instead of making them use measures designed for their practice area, CMS Director of the Center for Clinical Standards and Quality Kate Goodrich said Friday (May 19).

Monday, 16 May 2016

Leading physician and hospital lobby groups are raising concerns that the risk adjustment policy included in CMS' proposed rule to revamp the Medicare physician payment system doesn't factor in low-income patients.

Friday, 13 May 2016

Stakeholders and lawmakers worry the newly proposed MACRA rule may disproportionately hurt solo or small group providers, but CMS counters there is flexibility within the rule and the agency will assist small group providers in meeting the reporting requirements.

Tuesday, 10 May 2016

Physicians groups are considering recommending CMS push back an initial reporting period date as they ring the alarm over the roughly two-month turnaround time they are expected to get to implement the massive physician payment overhaul established under MACRA.

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