Medicare
The AHA Friday expressed concern with certain policy options discussed by the Medicare Payment Advisory Commission at its November meeting. “We are primarily concerned about MedPAC’s potential recommendations regarding site-neutral payments to hospital-based off-campus [emergency departments] in…
Health care has been the top issue in Congress all year, and December is shaping up to be no different. The tax reform bills working their way through Congress could mean major changes for America’s hospitals and health systems.
The CMS Nov. 30 issued a final rule cancelling the cardiac and surgical hip and femur fracture treatment bundled payment models.
The Health Resources and Services Administration is reminding hospitals that participate in the 340B drug savings program that they must recertify by Dec. 6 or they will be terminated from the program. HRSA is required to recertify annually all participating covered entities enrolled in the 340B…
U.S. District Court Judge Rudolph Contreras will hear arguments Dec.
The Centers for Medicare & Medicaid Services this week is expected to release in its MLN Connects newsletter a notification requesting that hospitals review Worksheet S-10 data to ensure cost reports pass all recent edits. On Sept. 29, CMS released Transmittal 11, which modified the application…
The Centers for Medicare & Medicaid Services today announced refinements to the Medicare Advantage Valued-Based Insurance Design Model for calendar year 2019, the third year of the demonstration program. The model is designed to test whether giving MA plans flexibility to offer…
The Centers for Medicare & Medicaid Services has issued final Medicare payment rates for clinical diagnostic laboratory tests and advanced diagnostic laboratory tests in calendar year 2018. The rates are based on the weighted median of private insurer payment rates, as required by a 2016 final…
On November 1, CMS released the calendar year (CY) 2018 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule; on November 2, it released the CY 2018 Medicare physician fee schedule (PFS) final rule.