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Centers for Medicare & Medicaid Services (CMS) – Medicare

Healthcare access, remote physical exams, rural and school health, reimbursement, clinical technology, and the evolving ways care can reach patients.

Oct 26, 2018 •Blog

Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule (CMS-4185-P)

Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule (CMS-4185-P) On October 26, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a…

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Oct 26, 2018 •Blog

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients

CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients Proposed rule would strengthen the popular system for private health insurance plans to provide Medicare coverage,…

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Oct 26, 2018 •Blog

CMS Proposes New Telehealth Guidelines and RADV Extrapolation for MAOs

In Depth The Centers for Medicare & Medicaid Services (CMS) released a Notice of Proposed Rulemaking on Friday, October 26, 2018 (the Proposed Rule) addressing expanded telehealth…

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Oct 26, 2018 •Blog

CMS Moves to Expand Telehealth Coverage Under Medicare Advantage

The Centers for Medicare & Medicaid Services on Friday unveiled a proposal that the agency says will expand telehealth coverage to enrollees in Medicare Advantage plans. Under…

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Oct 8, 2018 •Blog

Next Generation ACO Model Select

Building upon experience from the Pioneer ACO Model and the Medicare Shared Savings Program (Shared Savings Program), the Next Generation ACO Model offers a new opportunity in…

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Oct 8, 2018 •Blog

Accountable care organizations: Time to make risk-adjustment more stable

ACO stakeholders ask CMS to keep upside-only risk model, while 29 others from Next Gen ACO Coalition want to make risk more predictable. Susan Morse, Senior Editor…

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Oct 8, 2018 •Blog

New Senate Bill Seeks to Loosen Homebound Requirements for Home Health Services

By Kaitlyn Mattson | October 7, 2018 The home health industry has won another victory in Washington, D.C., in its battle against certain parts of the Patient-Driven…

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Sep 21, 2018 •Blog

Telehealth and the law: the challenge of reimbursement

Technological advances continue to expand the healthcare delivery marketplace. Through technology, more and more providers are trying to cash in on telehealth. As with any other business,…

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Sep 18, 2018 •Blog

New CMS Proposal Would Save Home Health, Hospice $137M Annually

By Robert Holly | September 17, 2018 Federal policymakers are again taking aim at costly administrative and paperwork burdens for the home health and hospice industries in…

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Sep 10, 2018 •Blog

ACO Announcements Add to Existing Skilled Nursing Pressures

By Maggie Flynn | September 10, 2018 Value-based arrangements generate much of their savings by shifting spending away from the post-acute setting, according to recent government announcements.…

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Healthcare Medical Digital Patient Management

Sep 7, 2018 •Blog

AMA Adds Connected Health CPT Codes, Pushes for Medicare Payment

The 2019 CPT code set includes new remote patient monitoring and internet consulting codes to encourage innovative care delivery and Medicare payment for connected health. September 07,…

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Aug 27, 2018 •Blog

ACOs taking risk in innovative payment model generate savings for patients and taxpayers

Aug 27, 2018 Today, the Centers for Medicare & Medicaid Services (CMS) released an evaluation report for the first performance year of the Innovation Center’s Next Generation…

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Aug 13, 2018 •Blog

CMS rule to overhaul Medicare Shared Savings Program would imperil ACOs, group says

The National Association of ACOs (NAACOS) argues that a rule proposed by the Centers for Medicare and Medicaid Services (CMS) to overhaul the Medicare Shared Savings Program…

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Aug 10, 2018 •Blog

CMS Overhaul of ACO Rules Includes a Nod to Telehealth’s Value

In its proposal to overhaul the Medicare Shared Savings Program, CMS is planning to reimburse for more telehealth and telemedicine services as it looks to revamp the…

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Aug 9, 2018 •Blog

Proposed Pathways to Success for the Medicare Shared Savings Program

On August 9, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would set a new direction for the Medicare Shared Savings…

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