Podcast: KHN’s ‘What The Health?’ Split Decision On Health Care
From Kaiser Health News Network – Their latest podcast, What the Health, episode 71, This week, Voters on Election Day gave control of the U.S….
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CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients
In a proposed rule issued, CMS took action to build upon the Administration’s ongoing efforts to modernize the Medicare Advantage and Part D programs, which provide seniors with Medicare health and prescription drug coverage through private plans.
Modernizing Medicare to Take Advantage of the Latest Technologies
By Seema Verma – Healthcare is taking up an increasing share of the U.S. economy, and by 2026 the CMS Office of the Actuary projects that one in every five dollars spent in America will be spent on healthcare.
Trouble Ahead: The Unintended Consequences of the Proposed E/M Changes
By Robert F. Bacon – The provider community has been begging for documentation reform for over 20 years, and there is no question that simplifying the complex requirements of clinical documentation is necessary.
Medicare To Overhaul ACOs But Critics Fear Less Participation
By Phil Galewitz – Accountable care organizations were among the key initiatives of the Affordable Care Act, designed to help control soaring Medicare costs. ACOs were expected to save the government nearly $5 billion by 2019, according to the CBO.
CMS Advances Demonstration to Waive MIPS Requirements
CMS is advancing the MAQI Demonstration, which, when approved and adopted, would waive MIPS requirements for clinicians who participate sufficiently in certain Medicare Advantage plans that involve taking on risk.
CMS Takes Action to Modernize Medicare Home Health
CMS proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care.
CMS Issues Proposed Rule for 2019 Payment and Policy Updates
CMS issued proposed updates to Medicare payment policies and rates under the Inpatient Prospective Payment System and the Long-Term Care Hospital Prospective Payment System, as well as a Request for Information to solicit feedback on ways to better achieve interoperability.
OIG Report: CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements
By Nathaniel M. Lacktman – The Office of Inspector General at the Department of HHS just published a new report on OIG’s review of Medicare payments for telehealth services. The objective of the OIG review was to determine whether or not CMS paid practitioners for telehealth services that met Medicare requirements.