On July 29, 2019, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule for the physician fee schedule (PFS) that includes provisions to update payment policies, rates, and quality provisions beginning on or after Jan. 1, 2020.
Last month, the Centers for Medicaid & Medicare Services (CMS) released a final rule that will grant it broad new revocation and denial authority for providers and suppliers who are "affiliated" with previously-sanctioned entities.
CMS recently updated regulations for Programs for All-Inclusive Care for the Elderly (PACE) to strengthen protections for participants and allow more operational flexibility for providers.
Controlling pharmaceutical prices remains a hot topic, judging from the 6,415 comments received in response to the CMS proposed rule: "Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses."
On Feb. 11, the Centers for Medicare & Medicaid Services posted the following information and links to resources regarding new interoperability rules:
In late October, the U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), announced and sought input on a new "International Pricing Index" (IPI) payment model to reduce what Americans pay for prescription drugs.
Five years into the Medicare Shared Savings Program, more and more ACOs are beginning to demonstrate the ability to improve quality while lowering costs.
On Thursday, Sept. 27, Health and Human Services Secretary Alex M. Azar II flew to Nashville to share thoughts and updates on healthcare coverage in America during a Nashville Health Care Council Event held at Lipscomb University.
The American Medical Association (AMA) submitted comprehensive comments to the Centers for Medicare & Medicaid Services (CMS) that outlined recommended changes to the proposed rule on physician payment policies.
CMS is proposing big changes in the physician fee schedule and quality payment program for 2019
A judge has ruled CMS may move forward with planned cuts to the 340B program and that the American Hospital Association must wait until those cuts go into effect to launch a challenge.
Oscar Health, a technology-driven health insurance startup based in New York has entered a strategic partnership with industry giant Humana to offer commercial health insurance to small businesses in the Nashville MSA.
Proposed rule aims to simplify reporting requirements and offer support for doctors and clinicians in 2018
With ACA repeal and replace in full swing, Leadership Health Care continues the streak of planning the annual trek to Washington, D.C. at pivotal moments impacting the healthcare industry.
"Pick Your Pace" Isn't a Signal to Ease Up on Planning
Last month, Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt announced some flexibility as providers prepare to transition to payment reform under the Medicare Access and CHIP Reauthorization Act (MACRA).
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