StrategyCMS to Roll Out Mandatory Cancer Payment Model
In a sharp departure from Trump Administration policy, HHS Secretary Alex Azar pushes mandatory payment models.
FinanceInpatient or Outpatient? Medicare Rule Sows Knee Replacement Confusion
Many hospitals are instructing surgeons to schedule all Medicare total knee arthroplasties as outpatient procedures.
Clinical CareMedicare's Hospital Readmission Penalties Having Widespread Impact
National data indicates the Hospital Readmissions Reduction Program is having a positive impact on patients under 65 as well as...
Clinical CareCMS Home Health Final Rule Pushes Modernization and Value-Based Care
The new rules, which focus on the 2019 and 2020 calendar years, update payment regulations, support expansion of remote patient...
FinanceSite-Neutral Payments Finalized Despite Hospitals' Objections
The policy change constitutes a 40% reduction for some hospital outpatient departments.
FinanceWhat the Physician Fee Schedule's E/M Changes Mean for Providers
The federal agency backed off on many of its ire-inducing proposals that would have drastically reshaped how it pays for...
FinanceCMS Delays E/M Payment Changes to 2021 in Physician Fee Schedule Final Rule
The announcement coincides with the release of the 2019 Physician Fee Schedule and Quality Payment Program final rule.
FinanceFederal Inspectors Cite St. Luke's in Houston for Problems in a Heart Transplant
Defibrillator paddles did not work during a patient's heart transplant in January, and a backup set was not nearby. The...
FinanceHospitals Should Be Bracing for Site-Neutral Payments
Even if the Trump administration were to delay its proposed site-neutral payments policy for outpatient facilities another year or longer,...
InnovationTelehealth to Gain Ground in 2020 Under Medicare Advantage Proposal
Enrollees would have access to telehealth benefits regardless of whether they live in rural or urban areas, unlike the current...
No Personal Health Info Was Exposed in ACA Exchange Breach, CMS Says
No banking, federal tax, or protected health information was exposed in the breach announced last week, officials said.
FinanceSix Years of Frozen Outpatient Rehab Payment Rates. CMS, Really?
Is it reasonable to expect hospitals to have a six-year payment rate freeze for outpatient hospital rehabilitation services?