Category: CMS
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CMS audit examines Medicare payments for hospice care
With Medicare spending on hospice skyrocketing in recent years, the program’s watchdog office says tying hospital payment more closely to the timing of patient transfers from the hospital to the hospice could have cut federal spending by as much as… …read more Source: http://www.modernhealthcare.com/article/20130529/NEWS/305299959
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Reform Update: Hospitals in Iowa help break Medicaid expansion impasse
Iowa hospitals were key players in a last-minute “hybrid” deal to expand Medicaid, the second such legislatively approved deal in the country. …read more Source: http://www.modernhealthcare.com/article/20130528/NEWS/305289966
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Panel airs draft of new doc payment system
Republican House Energy and Commerce Committee leaders have revealed a draft of a bill that would repeal Medicare’s contentious physician payment formula and replace it with a payment system that places greater emphasis on quality and efficiency. …read more Source: http://www.modernhealthcare.com/article/20130528/NEWS/305289968
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Responding To Revenue Cycle Challenges With Analytics
For all its complexities, healthcare is an amazingly effective industry. Yet everyone will admit that change is necessary. With exceptions, healthcare today is still largely a fee-for-service business. The resulting inefficiencies are not only hard to ignore, they are also a detriment to clinical quality, according to The Dartmouth Atlas Project, an ongoing study of…
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Tensions, threats emerge in Ariz. Medicaid expansion debate
In addition, the legislative debate continues in Texas while in Florida there’s speculation about what’s to become of the state’s uninsured population now that the legislature didn’t take action. …read more Source: http://www.news-medical.net/news/20130527/Tensions-threats-emerge-in-Ariz-Medicaid-expansion-debate.aspx
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No change of heart on Maine hospital debt
Maine Gov. Paul LePage and Democratic lawmakers had no change of heart Friday on a bill to repay a $484 million debt to Maine hospitals and expand Medicaid. …read more Source: http://www.modernhealthcare.com/article/20130525/INFO/305259944
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RAC bill getting hospital lobby’s biggest push
Legislation to muzzle Medicare auditors has received the biggest hospital lobbying push this year — so far, to little effect. …read more Source: http://www.modernhealthcare.com/article/20130524/NEWS/305249969
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First Edition: May 2, 2013
Today’s headlines include reports about a new study detailing how expanded Medicaid access impacts beneficiaries’ utilization of health care services and their overall physical health.
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NY health care advocates: Medicaid managed care shuns the most disabled users
Managed-care companies in New York have come under fire for signing up vigorous older adults referred to them by social day care centers, customers whose health needs are relatively small. But on Tuesday, legal advocates for the disabled told the state’s Medicaid director that the most seriously impaired people were getting the opposite treatment (Bernstein,…
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CMS seeks 1.4% payment hike for SNFs
The CMS has proposed a 1.4% hike in Medicare payments to skilled-nursing facilities for fiscal 2014, which the agency estimates would increase payments to these providers by about $500 million from 2013 payment levels.