March Toward Value-Based Care Slipping: Survey

July 18—A new survey of physicians and health plan execs says the march toward value-based care is slipping, throwing shade on other surveys that say the transition to outcomes-based payment is on track.

David Burda July 18, 2018

Medicare Physician Pay Rule Targets Reporting Burden

July 17—Physician advocates are hailing a range of Medicare policy changes that were included in a recently proposed payment rule and are aimed at reducing clinicians’ administrative burden.

Rich Daly July 18, 2018

CMS Tweaks BPCI-A Time Frames

July 16—Some key timing parameters of the next large Medicare alternative payment model were changed in recent weeks.

Rich Daly July 17, 2018

What’s Driving Increased Hospital Cost Concerns?

July 13—The case for greater cost control at hospitals received its latest boost from a recent national survey of hospital executives. The growing urgency comes amid shrinking margins and cash flow.

Rich Daly July 16, 2018

July 16-20: Congress to Examine Stark Law Modifications; Verma Pledges Changes

July 12—As Congress gears up to examine statutory changes to the Stark Law next week, the Trump administration is planning to implement changes on an administrative basis.

Rich Daly July 13, 2018

Congress Pushes 340B Bills to Cut Eligibility, Increase Reporting

July 11—Members of Congress this week pushed emerging legislation to restrict the ability of hospitals and other providers to qualify for the 340B discount drug program and to increase their reporting requirements.

Rich Daly July 12, 2018

MA Gets Better Outcomes Despite Sicker Enrollees: Study

July 10—Contrary to general belief, Medicare Advantage (MA) plan enrollees are initially sicker than those in fee-for-service (FFS) Medicare, according to new research. And once enrolled, MA beneficiaries get better care at a lower cost.

Rich Daly July 11, 2018

Azar Promises Drugmaker Penalty Rule Coming

July 9—A five-times-delayed rule that would stiffen drugmaker penalties—among other provisions—will be implemented, the Trump administration’s healthcare policy leader told providers on Monday.

Rich Daly July 10, 2018

Transparency, Interoperability, DSH Changes Lead Hospital IPPS Concerns

July 6—Hospital advocates recently raised a range of concerns about proposed Medicare payment policy changes, including transparency and interoperability requirements and a new way to calculate uncompensated care payments.

Rich Daly July 9, 2018

Pilot to Offer APM Bonuses to Physicians in Medicare Advantage

July 3—Medicare plans to launch a pilot—as soon as this year—to allow physicians paid through Medicare Advantage value-based arrangements to qualify for the same bonuses as those working in advanced alternative payment models.

Rich Daly July 3, 2018
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