8 changes to the Medicare Physician Fee Schedule in 2017

By Ayla Ellison CMS issued its update to the 2017 Medicare Physician Fee Schedule on Wednesday. The changes include a number of new policies that reflect a broader agencywide strategy to enhance quality, spend smarter and improve Americans’ health. Here are the eight most import
Continue Reading →

Slavitt says high premium increases are result of one-time effects

By Shannon Muchmore Lawmakers cited contrasting headlines to assess the performance of the Affordable Care Act during a hearing Wednesday where acting CMS Administrator Andy Slavitt once again defended the law under harsh questioning. Read more…
Continue Reading →

CMS will give providers flexibility on MACRA requirements

By Virgil Dickson The CMS on Thursday announced it will allow providers to choose the level and pace at which they comply with the new payment reform model aimed at emphasizing quality patient care over volume. Read more…
Continue Reading →

CMS offers solutions as improper Medicaid payments skyrocket

By Virgil Dickson Improper Medicaid payments hit $30 billion last year, according to the CMS. Now, the agency is giving states tools to address the issue. Medicaid’s improper payment rate was 9.8% for 2015, nearly double what it was in 2013. The agency is anticipating the rate t
Continue Reading →

CMS adds new quality measures to nursing home star ratings

By Elizabeth Whitman The CMS has added five new measures that are being gradually factored into its nursing home star ratings intended to help consumers research and compare the quality of facilities. Read more…
Continue Reading →

CMS penalizes 2.6k hospitals for high readmissions: 5 statistics

By Brooke Murphy In fiscal year 2017, CMS will withhold $528 million in Medicare reimbursements to hospitals with higher-than-expected readmission rates as part of the Hospital Readmissions Reduction Program, reports Kaiser Health News.
Continue Reading →

Bundled-payment expansion brings providers more risk—and opportunity

By Elizabeth Whitman Heart attacks strike about 735,000 people in the U.S. every year. For about 210,000 of them, it’s not the first time. The Obama administration, with less than six months on the clock, is betting that changing the way Medicare pays hospitals and physicians to
Continue Reading →

CMS says $42 billion saved with fraud prevention, provider screening efforts

By Shannon Muchmore The CMS saved about $42 billion in fiscal years 2013 and 2014 through program integrity efforts, according to a report to Congress released Wednesday. The CMS attributed the savings to increased provider enrollment and screening standards as well as fraud preventio
Continue Reading →

CMS and FDA advocate for device identifiers on claims forms

By Adam Rubenfire The heads of the CMS and the Food and Drug Administration want universal health insurance claims forms to include unique device identifiers. The UDI would improve post-market surveillance and provide for better value-based reimbursement based on device performance, t
Continue Reading →

Health systems urge Senate to revamp or repeal Stark law

By Virgil Dickson Executives of large health systems told Congress on Tuesday that an anti-kickback law could hinder value-based payment models. Read more…
Continue Reading →