May 1st 2025
Self-paying patients can now obtain semaglutide at a lower cost through trusted telehealth providers.
CMS Proposes Medicare Advantage Rate Reduction
February 25th 2014CMS intends to implement a 1.9% rate reduction in payment rates for Medicare Advantage plans in 2015. Some payers fear that number may increase as fees associated with the Affordable Care Act (ACA), as well as other policy changes, also begin to impact physician reimbursement.
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To Pay for a Doc Fix, Focus on Post-Acute Care
February 25th 2014In a rare display of bipartisanship, key committees of both houses of Congress are backing legislation that would permanently erase the sustainable growth-rate formula, a poorly thought out payment reform measure that for more than a decade dictated sharp cuts in Medicare physician pay.
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CMS Will Run Medicare Claims with ICD-10 Codes Through 'End-to-End' Testing
February 20th 2014The CMS will offer end-to-end testing of Medicare claims using the ICD-10 diagnostic and procedure codes, an attempt to deliver much sought-after assurances that its contractors will be prepared for the Oct. 1 implementation date.
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AHA Seeks Alignment of Quality Programs, Measures
February 14th 2014In response to a request for comment issued by the Centers for Medicare & Medicaid Services on its proposed Quality Strategy, the American Hospital Association is calling for more significant alignment of its quality measurement activities in order to reduce the burden on hospitals and providers.
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Are Oncology Clinical Pathways Coming to Medicare?
February 14th 2014Oncology clinical pathways have helped health plans deliver quality care while keeping an eye on costs. The lack of standardization in pathways can be cumbersome on a busy oncology practice. If Medicare adopts a pathways model, it could offer a framework for broader use.
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Deadlines Extended for Attesting to Meaningful Use in EHR Incentive Program
February 10th 2014The CMS is extending the deadline for physicians and other eligible professionals to attest to meaningful use for the Medicare EHR incentive program for the 2013 reporting year and is offering some hospitals a second chance at receiving payment-as well as possible relief from the program's 2015 penalties for failing to comply in 2013.
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Despite Praise, SGR Repeal Will Require Cuts or Payment Reforms to Move Forward
February 10th 2014With hospitals vehemently opposed to more Medicare cuts to fund the bipartisan legislation unveiled Thursday that would permanently end the annual charade around physician pay cuts, Congress may have to enact some form of payment or tax reform if it expects to get the job done this year.
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Health Insurance Industry Touts Supplemental Policies to Cover Medical Costs
February 6th 2014As out-of-pocket medical costs grow for many Americans, the insurance industry is offering a way to help and, at the same time, expand its business: by selling supplemental policies that may fill the gaps for consumers.
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U.S. Says Results Encouraging for Healthcare Delivery Reforms
January 31st 2014The Obama administration on Thursday reported what it called encouraging results from efforts to reduce healthcare costs and improve the quality of care for more than 5 million Medicare beneficiaries under Obamacare
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Raising Medicare Premiums for Higher-Income Beneficiaries: Assessing the Implications
January 20th 2014As policymakers consider ways to slow the growth in Medicare spending as part of broader efforts to reduce the federal debt or offset the cost of other spending priorities, some have proposed to increase beneficiary contributions through higher Medicare premiums.
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CMS Replaces Departed CIO, COO
January 17th 2014The CMS has moved quickly to replace two recently departed senior executives. The experience levels of the announced replacements should allay concerns that the mini-exodus, which some saw as fallout from launch issues with HealthCare.gov, would hurt agency operations, former CMS insiders agreed.
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