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Policy & Regulatory

Media Report: Anthem Loses Appeal to Overturn Blocked Merger with Cigna

April 28, 2017  |  Heather Landi
news
According to a report from Bloomberg posted today, Anthem Inc. lost its bid to overturn a court ruling that blocked its planned merger with Cigna Corp.

Report: MACRA 2018 Rule Under Review as Tom Price Looks to Relieve Docs

April 27, 2017  |  Rajiv Leventhal
article
The Trump administration is currently reviewing potential 2018 updates to MACRA that would especially ease the burden the new legislation puts on small physician practices, according to a report this week in The Hill.

Do MIPS Reporting Measures Create an Even Playing Field For Clinicians?

April 26, 2017  |  Rajiv Leventhal
article
Rita Numerof, Ph.D., co-founder and president of Numerof & Associates, believes there are concerns for providers regarding the reliability and validity of specific individual measures in MIPS.

In Georgia, Helping Physicians Move Forward on MACRA/MIPS, EHRs, and APMs

April 25, 2017  |  Mark Hagland
article
The Georgia Health Information Technology Extension Center (GA-HITEC) is offering a lifeline to practicing physicians in the Peach State, as practicing doctors attempt to ramp up to meet the demands of MACRA/MIPS

Unlocking the Key to Readmissions Reduction Success—Looking at Clinical Transformation, and the “ACO Effect”

April 24, 2017  |  Mark Hagland
commentary
A recent study lends further credence to already-accumulating anecdotal evidence regarding the value of ACO, bundled-payment, and even MU-driven, work, to support the processes that can unlock success in reducing readmissions

CMS Calling for New Measure Proposals Under MIPS

April 24, 2017  |  Heather Landi
news
The Centers for Medicare & Medicaid Services (CMS) is requesting healthcare industry stakeholders to propose new measures under the Advancing Care Information (ACI) Performance Category for the Merit-based Incentive Payment System (MIPS) in 2019.

AHIMA Calls on Congress to Maintain Health IT Funding in 21st Century Cures

April 21, 2017  |  Heather Landi
news
In a letter to Congressional leaders, the American Health Information Management Association (AHIMA) voiced its concern about the need to continue to fund critical health IT initiatives that were advanced last year with the passage on the 21st Century Cures Act...

Allscripts Solution Said to “Deliver Fully Certified 2015 Edition Technology”

April 21, 2017  |  Rajiv Leventhal
news
The Chicago-based Allscripts has attested that, through a partnership with Drummond Group LLC, it has developed a solution that is certified to enable clinicians to meet the requirements of the meaningful use program as well as the Quality Payment Program.

Working in Diverse Markets, a Healthcare Company Achieves Noteworthy Population Health Results

April 21, 2017  |  Mark Hagland
article
Alignment Healthcare, a population health company with diverse lines of business, is making documented progress in leveraging data and analytics to fuel leading-edge care management strategies

Telehealth Report Reveals Varied Progress Across 50 States

April 20, 2017  |  Rajiv Leventhal
news
CCHP’s report, its fifth edition, covers state telehealth laws, regulations and Medicaid policies available and contains current information for all 50 U.S. states.

GAO: Medicare Coverage Restrictions, Payment Holding Back Telehealth

April 18, 2017  |  Rajiv Leventhal
news
While telehealth and remote patient monitoring can provide benefits for patients who cannot easily travel long distances for care, the most significant barriers still are payment and coverage restrictions, according to a new report from the GAO.

CMS Issues 2018 IPPS Proposed Rule with Eye on Regulatory Simplification

April 17, 2017  |  Rajiv Leventhal
article
CMS has issued a proposed rule that would update 2018 Medicare payment and polices when patients are admitted into hospitals, and which would make changes to several quality reporting programs.

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