CMS has finally released the final rule for the Medicare Shared Savings Program, which is the program that establishes the rules for Accountable Care Organizations (ACOs).
The initial industry objections to the ACO concept and the proposed regulations was that it was so complicated, so limited and potentially so expensive that it would be impossible…
CMS has taken a small step to implement President Obama’s executive order instructing federal agencies to eliminate regulations that obsolete or overly burdensome to business.
On October 24, 2011 CMS published the final rule revising Ambulatory Surgery Center (ASC) conditions for coverage to allow patient rights information to be provided to the patient, the patient’s…
The Obama administration has halted plans to implement the long-term care program in the 2010 health care law after determining that financing plans for it were not sufficient.
The Community Living Assistance Services and Supports (CLASS) Act, a program championed by the late Sen. Edward M. Kennedy, has come under withering criticism from…
A commonwealth fund supported studies reported some key findings:
1. Physician practices in the United States spent $82,975.00 per physician per year interacting with payers compared with $22,205.00 in Canada.
· If U.S. physicians had similar administrative costs to their Canadian counterparts, the total annual savings would be $27.6 billion dollars.
· U.S.
CMS has published a revised Medicare Physician’s Guide.
http://www.cms.gov/MLNProducts/downloads/MedicarePhysicianGuide_ICN005933.pdf
If you’re a provider or supplier that furnishes the technical component of advanced diagnostic imaging (ADI) services and bill Medicare under the Physician Fee Schedule for these services, you should know that you must be accredited by Sun Jan 1, 2012. Those not accredited by that deadline will not be able to bill Medicare …
The 2012 Medicare Physician Fee Schedule is out!
It contains a proposed Medicare Conversation Factor of $23.9635. This is a 29.5% DECREASE, mandated by the Sustainable Growth Rate (SGR) formula.
Med Law Blog will be presenting analysis of key additional provisions in the coming weeks.
Eligible professionals (EPs) must successfully e-prescribe for Medicare patients 10 times before June 30, 2011 using claims-based reporting to avoid the penalty in 2012. Earning the e-prescribing incentive for 2011 will not necessarily exempt an EP or group practice from the 1 percent penalty starting on January 1, 2012. For 2013, the 1.5 percent penalty is based…
Seven GOP Senate Finance members wrote a letter to HHS Secretary Kathleen Sebelius and CMS Administrator Don Berwick suggesting that due to the outpouring of concern from the provider community — including key health care integrated systems such as the Mayo Clinic, Billings Clinic, Intermountain Healthcare and Cleveland Clinic — CMS officials should pull the…
Wednesday, March 23, 2011
On Monday, CMS launched a website for the Center for Medicare and Medicaid Innovation to serve as a warehouse of new care models for Medicare, Medicaid and the Children’s Health Insurance Program, Government Health ITreports.
Innovation Center Details
The new
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