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Bundled Payments for Medicare Outpatient Services?
Come 2014, the Centers for Medicare and Medicaid Services (CMS) may push bundling of some outpatient procedures.
Come 2014, the Centers for Medicare and Medicaid Services (CMS) may push bundling of some outpatient procedures. The proposed rule change would be made in an effort to continue the streamlining of Medicare and Medicaid payment systems. Healthcare Payer News Reports:
The Centers for Medicare & Medicaid Services’ (CMS) 2014 proposed rules for the hospital outpatient prospective system (OPPS), released earlier this week, offer payment increases and “packaging” of services.
The proposed rule would increase hospital OPPS payments by $4.37 billion or 9.5 percent, and 2014 Medicare payments to ambulatory surgical centers (ASCs) by approximately $133 million or 3.51 percent, as compared to 2013, according to a CMS press release.
In its effort to continue streamlining the payment system, CMS proposes to “package” particular services and supports into seven new categories. A separate payment would still be made if an item included in a package is reported alone on a claim.
CMS also proposes collapsing the current five levels of outpatient visit codes to one.
Read the full story here:http://bit.ly/1drK65n
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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HMO and EPO Insurance Plans More Likely to Promote Use of Biosimilars
November 21st 2023Health plan type highly influences the likelihood of biosimilar uptake, with low-flexibility insurance plans more likely to have patients who either switched to a biosimilar or were initiated on a biosimilar.
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Oncology Onward: A Conversation With Dr Debra Patt of Texas Oncology
August 1st 2023Debra Patt, MD, PhD, MBA, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, for episode 2 of our newest podcast, "Oncology Onward: Conversations With Innovators and Changemakers in Cancer Care."
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Therapists’ Perspectives on Access to Telemental Health Among Medicaid-Enrolled Youth
November 10th 2023This qualitative study elucidates therapists’ perspectives on barriers to and facilitators of access to telemental health among Medicaid-enrolled youth served by a large safety-net organization.
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