Medicare Cuts Give Health Providers Jitters

Published Online: November 20, 2012
The $716 billion in Medicare “cuts” that got so much attention in the presidential election have already begun sinking their teeth into health care providers.

And there are widespread jitters that any further cuts as part of a year-end deal to stave off sequestration or strike a “grand bargain” for a long-term fiscal deal would deeply gouge some providers, if not put them out of business.

Read the full story: http://politi.co/T91vXm

Source: Politico

Feature
Recommended Articles
Approximately 70% of all Medicaid beneficiaries receive their healthcare services through managed care, and state Medicaid programs are required to report encounter data to a national database, but 8 states did not during fiscal year 2011, according to a new government report.
The report found that Medicare Part B spending per beneficiary in 340B hospitals was more than twice that of hospitals outside the program. Groups such as the Community Oncology Alliance have long warned that the 340B program, while essential, has grown beyond its original intent.
Bruce Feinberg, DO; Scott Gottlieb, MD; and Ted Okon, MBA, discuss the recent establishment of the Oncology Care Model by the CMS and compare its structure with the Community Oncology Alliance’s Oncology Medical Home model.
CMS has released additional guidance allowing for flexibility in claims auditing and quality reporting during the transition to the International Classification of Diseases, Tenth Revision and is working with the American Medical Association to educate providers.
Christine K. Cassel, MD, president and CEO of the National Quality Forum, sent her best wishes to The American Journal of Managed Care for its 20th year anniversary in publication.