A coalition of eight national medical specialties pledged support for the bipartisan Improving Seniors’ Timely Access to Care Act of 2019 (H.R. 3107), legislation that would protect patients from unreasonable Medicare Advantage plan requirements that…
By Shefali Luthra – Private health insurance plans in 2017 paid more than twice what Medicare would have for those same health care services, says a sweeping new study from Rand Corp., a respected research organization.
The Centers for Medicare & Medicaid Services finalized policies that will increase plan choices and benefits, including allowing Medicare Advantage plans to include additional telehealth benefits.
By Jill Reeves – The 2019 Fiscal Year is well underway, and 2019 proper will be here in a hot minute. That makes this as good a time as any to preview some of the changes that have recently been or are about to be rolled out by CMS.
By Tim Engelhardt – CMS released a report that demonstrates how empowering states can help reduce costs. The report summarizes the final Medicare Parts A & B actuarial savings analysis of the Washington managed fee-for-service demonstration…
In a proposed rule issued, CMS took action to build upon the Administration’s ongoing efforts to modernize the Medicare Advantage and Part D programs, which provide seniors with Medicare health and prescription drug coverage through private plans.
By Robert F. Bacon – The provider community has been begging for documentation reform for over 20 years, and there is no question that simplifying the complex requirements of clinical documentation is necessary.
By Phil Galewitz – Accountable care organizations were among the key initiatives of the Affordable Care Act, designed to help control soaring Medicare costs. ACOs were expected to save the government nearly $5 billion by 2019, according to the CBO.
By Nathaniel M. Lacktman – The Office of Inspector General at the Department of HHS just published a new report on OIG’s review of Medicare payments for telehealth services. The objective of the OIG review was to determine whether or not CMS paid practitioners for telehealth services that met Medicare requirements.
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