Medicare/Medicaid

Washington Debrief: CMS Encourages Participation in Bundled Payments Model

May 21, 2013     Jeff Smith, Director of Public Policy at CHIME
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CMS is accepting additional applications from hospitals to participate in Model 1 of the Bundled Payments for Care Improvement Initiative, the agency recently announced. The Medicare demonstration includes four models of care that bundle payments for multiple services received during an episode of inpatient and/or post-acute care.

BREAKING NEWS: Senate Confirms Marilyn Tavenner as Permanent Administrator of CMS

May 15, 2013     Mark Hagland
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Marilyn Tavenner, R.N., the acting administrator of the federal Centers for Medicare & Medicaid Services (CMS), on Wednesday, May 15, was confirmed by the U.S. Senate to serve as CMS's permanent administrator, the first nominee for the job to receive formal confirmation in nearly a decade.

Administration Announces $1B Initiative to Launch Health Care Innovation Awards Round Two

May 15, 2013     Rajiv Leventhal
news
The Department of Health and Human Services (HHS) has announced a nearly $1 billion initiative that will fund awards and evaluation to build on the Obama administration’s work to transform the healthcare system by delivering better care and lowering costs. This second round of Health Care Innovation Awards will fund applicants that have a high likelihood of driving health care system transformation and delivering better outcomes.

Washington Debrief: Lawmakers Want Ideas on Medicare Payment Changes

May 14, 2013     Jeff Smith, Director of Public Policy at CHIME
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A bipartisan call came from the Senate Finance Committee this week, asking healthcare providers for input on how to fix the “broken” Medicare payment system. “The current Medicare physician payment system is inefficient and needs to go,” Senator Max Baucus (D-Mont.) said.

AMA: Skipping to ICD-11 Not a Good Option Either

May 13, 2013     Gabriel Perna
news
The American Medical Association (AMA), a noted opponent of the Centers for Medicare & Medicaid Services’ (CMS) mandated transition to the ICD-10 code-set, is not advocating the government to skip right to the ICD-11 either, the non-profit group said in a recent Board of Trustees report.

CMS Publicly Releases Hospital Charge Information, with Resulting Media Attention to Charges

May 8, 2013     Mark Hagland
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On May 8, the Centers for Medicare & Medicaid Services publicly released hospital charge information, unleashing a wave of mainstream news media coverage, with articles and broadcast segments highlighting dramatic variations in hospital prices, but with the American Hospital Association emphasizing that Medicare does not pay hospital-set charges.

ICD-10 Transition Will Be Convoluted, Study Finds

May 8, 2013     Gabriel Perna
news
According to a recent study headed by researchers at the University of Illinois, the oft-controversial transition to the 10th revision of the International Classification of Diseases (ICD-10) code set will be a challenge for many providers thanks to convoluted conversion mappings. The convoluted, or complex, entangled, and non-reciprocal, mappings will possibly impact a provider’s staffing, supply management, and clinical revenue, the researchers found.

Think Tank Claims Medicare Proposal Would Cut Healthcare Costs Significantly

April 22, 2013     Gabriel Perna
news
The Bipartisan Policy Center, a Washington, D.C.-based think tank which proposes policy reform legislation, has released a proposal that would lower healthcare costs and ultimately, reduce the federal deficit by $560 billion. The proposal includes a Medicare system that would allow beneficiaries to choose from three coverage options including the current fee-for-service model, a Medicare Advantage plan, or enroll in new 'Medicare Networks' within traditional Medicare.

Report Highlights Difficulties of Reducing Readmission Rates Among Medicare Beneficiaries

April 17, 2013     Gabriel Perna
news
According to a report from researchers at Penn State, the Weill Cornell Medical College, and the University of Pennsylvania, reducing preventable readmission rates among Medicare beneficiaries may take longer than expected due to the challenges of care coordination. One-in-five Medicare beneficiaries returns to the hospital within 30 days of discharge, costing a total of $18 billion to the program, the authors of the report say.

Groups Form Consensus on Curbing Health Care Spending While Improving Quality

April 11, 2013     John DeGaspari
news
Five national organizations representing diverse constituencies involved in the nation’s healthcare system joined together in presenting consensus recommendations today for improving health care quality while lowering costs nationwide.

CMS Proposes Rule to Extend EHR Donation Safe Harbor

April 10, 2013     Gabriel Perna
news
According to a recently published document in the Federal Register, the Centers for Medicare & Medicaid Services (CMS) is proposing a rule that would extend a regulation that allows hospitals to donate electronic health records (EHRs) to physicians until 2016. The rule is an exception to a federal law that prohibits payments of particular services that are meant to encourage a referral back to the hospital.

Rove-Carville Debate Closes Out HIMSS13

March 7, 2013     Gabriel Perna
article
At the closing keynote address of HIMSS13 conference in New Orleans, James Carville and Karl Rove, two of the most notable political minds of the modern era, gave their contrasting thoughts on a variety of hot button issues in a spirited, lively debate.
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