Login

Forgot password?
Sign up today and your first download is free.
REGISTER

Spotlight on ACOs

December 04, 2017 | Daily News

The White House Office of Management and Budget is reviewing an interim final rule on “Addressing Extreme and Uncontrollable Circumstances” for the Medicare Shared Savings program.

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 08, 2017 | Daily News

In another break from Obama-era policy, CMS plans to count participation in Medicare Advantage arrangements toward pay calculations in Alternative Payment Model Incentive Payments program, according to the Quality Payment Program rule.

November 06, 2017 | Daily News

The White House Office of Management and Budget on Thursday (Nov. 2) began reviewing a final rule that would shrink the mandatory Comprehensive Care for Joint Replacement demonstration and cancel the Episode Payment Models and Cardiac Rehabilitation incentive 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.

October 31, 2017 | Daily News

More than half of the accountable care organizations in the Medicare Shared Savings Program reduced Medicare spending and nearly all of them scored at least 94 percent on quality measures, according to a Premier analysis of results CMS released Monday (Oct. 30).

October 19, 2017 | Daily News

Accountable care organizations in the Medicare Shared Savings Program and three ACO demonstrations collectively saved Medicare $70.6 million in 2016 after ACO bonuses are taken into account, a CMS spokesperson said.

October 19, 2017 | Daily News

Accountable care organizations in the Medicare Shared Savings Program and three ACO demonstrations collectively saved Medicare $70.6 million in 2016 after ACO bonuses are taken into account, a CMS spokesperson said.

October 05, 2017 | Daily News

Specialists are getting help from House Republican lawmakers in their quest to exclude the cost of drugs they administer from the calculation of their Medicare bonuses and penalties.

October 02, 2017 | Daily News

Specialty doctors are lobbying Congress to exclude the cost of drugs they administer from the calculation of their Medicare bonuses and penalties because the therapies are often expensive and would result in volatile swings in reimbursement.

August 29, 2017 | Daily News

The HHS Office of Inspector General reported Tuesday (Aug. 29) that Medicare accountable care organizations saved the program nearly $1 billion over the first three years of the Medicare Shared Savings Program.

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

CMS is asking hospitals applying to participate in the extension of the Rural Community Hospital Demonstration to explain how rural hospital closures have affected them, and whether the applicants are filling gaps left by the closure of other hospitals.

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 20, 2017 |

The House Rules Committee cleared for a House vote on Tuesday legislation promoting association health plans and repealing the anti-trust exemption for the health insurance industry.

December 20, 2016 | Daily News

CMS published Tuesday (Dec. 20) regulations on mandatory bundled pay demonstrations for cardiac and joint-replacement services, even though the incoming Republican administration opposes requiring providers to participate in demonstrations that test changes to Medicare reimbursement, and the agency finished writing policy for the accountable care organization Track 1 +, which aims to get more physicians to accept the risk of penalties for poor performance.

December 16, 2016 | Daily News

CMS announced Thursday (Dec. 15) a demonstration that pays bonuses to accountable care organizations for reducing Medicaid spending on beneficiaries enrolled in both Medicare and Medicaid, often referred to as dual eligibles, and the federal government for the first time is letting states share in Medicare savings.

Pages