medicare cms

New 340B Guidelines Target Program Abuses

CMS Programs, Drugs, Healthcare Data, Medicare & CMS

The Centers for Medicare and Medicaid Services (CMS) announced changes to its 340B Drug Discount Program, effective January 1, 2018. The primary difference in the program is that drug payments to ...

CMS to Divulge Patient ACO Status

CMS Programs, Accountable Care Organizations, Medicare & CMS, Top 10 Lists

In the wake of provider criticisms, CMS has updated how physicians will be made aware of which patients will be monitored for the Medicare ACO program. Medicare beneficiaries will now be allowed to ...

Top Hospitals by Medicaid and Medicare Payor Mix

CMS Programs, Hospital Data, Medicare & CMS

According to a survey released by the Medical Group Management Association (MGMA), operating expenses for medical practices increased at nearly the same rate as revenue between 2015 and 2016. ...

CMS Proposed Bundled Payment Rule Reflects Ongoing Health Industry Debate

CMS Programs, Medicare, Medicare & CMS

CMS recently issued a proposed rule to roll back the scope of the Comprehensive Care for Joint Replacement Model (CJR) and eliminate the Episodic Payment Models (EPM) altogether. Both initiatives ...

CMS Proposes Joint Replacement Coverage at ASCs

ASCs, CMS Programs, Medicare & CMS

CMS announced on August 5 that they are considering whether to provide coverage for hip and knee replacement surgeries at outpatient surgery centers. This kind of coverage could further incentivize ...

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