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CMS delays controversial price transparency requirements—and other key takeaways from the HOPPS final rule

November 4, 2019


CMS on Friday released a final rule to update Medicare's Hospital Outpatient and Ambulatory Surgical Center Payment Systems for calendar year 2020, in which the agency said it will continue to implement site-neutral payment cuts and cuts under Medicare's 340B Drug Discount Program, despite separate court rulings striking down the policies.

How CMS will change Medicare payments to physicians in 2020

November 4, 2019


CMS on Friday issued a final rule to update the Medicare Physician Fee Schedule and Quality Payment Program (QPP) for calendar year 2020, which includes policies to shift QPP's Merit-based Incentive Payment System to a new conceptual framework and update evaluation and management visit payment rates.

How Warren would pay for 'Medicare for All'

November 4, 2019


Sen. Elizabeth Warren (D-Mass.), who is seeking the 2020 Democratic nomination for president, on Friday unveiled how she would pay for a so-called "Medicare-for-All" plan without raising taxes on middle-income U.S. residents.

CMS finalizes Medicare payment updates for home health and kidney care

November 1, 2019


CMS on Thursday finalized two separate rules that will increase Medicare payments for home health agencies and end-stage renal disease care.

The 3 root causes of US drug shortages, according to FDA

October 31, 2019


U.S. drug shortages are increasing and causing hospitals to ration lifesaving treatments, according to an FDA report released Tuesday, and the agency has three main recommendations to address the issue.

More than 1,500 hospitals will receive VBP bonuses in FY 2020

October 31, 2019


CMS on Tuesday announced that over 1,500 hospitals will receive bonuses in fiscal year 2020 under Medicare's Value-based Purchasing program.

New York's solution for 'surprise' medical bills is increasing health care costs, analysis finds

October 30, 2019


New York's arbitration process for addressing so-called "surprise" medical bills has resulted in higher payments to health care providers, and higher health care costs for state residents, according to an analysis released Thursday by the USC-Brookings Schaeffer Initiative for Health Policy.

Judge: HHS must pay insurers $1.6B in ACA payments

October 28, 2019


A federal judge on Tuesday ordered the federal government to reimburse nearly 100 health insurers about $1.6 billion in unpaid cost-sharing reduction payments called for under the Affordable Care Act.

The 5 keys to value-based care, according to Intermountain CEO Marc Harrison

October 28, 2019


As the health care industry moves toward value-based payment models, Intermountain Healthcare President and CEO Marc Harrison writing in Harvard Business Review offers his five principles to implementing a successful value-based care program.

CMS delays new primary care, kidney care value-based payment models

October 28, 2019


CMS on Thursday announced it is delaying the start of several new voluntary value-based payment models, but it continued to encourage Medicare providers to apply to participate in the payment models.

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