Medicare ACO Participation Grows in 2023
The number of accountable care organizations (ACOs) serving Medicare patients will grow slightly in 2023, according to data released by the Centers for Medicare & Medicaid Services.
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The CMS Innovation Center’s Strategy to Support Person-centered, Value-based Specialty Care
By Liz Fowler JD PhD, Purva Rawal PhD, Sarah Fogler PhD, Brian Waldersen MD MPH, Meghan O’Connell MPH, & Jacob Quinton MD MSHS – In 2021, CMS established a goal to have 100 percent of Original Medicare beneficiaries and the vast majority of Medicaid beneficiaries in accountable care relationships by 2030,,,
Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized
By Jordan Rau – The federal government has eased its annual punishments for hospitals with higher-than-expected readmission rates in an acknowledgment of the upheaval the covid-19 pandemic has caused, resulting in the lightest penalties since 2014.
Medicare Shared Savings Program Saves Medicare More Than $1.6 Billion in 2021
CMS announced that the Medicare Shared Savings Program, through its work with Accountable Care Organizations – groups of doctors, hospitals and other health care providers — saved Medicare money while continuing to deliver high-quality care.
What You Need to Know about CMS’s 2023 Proposed Medicare Physician Payment Rule
By Chris Emper – The heavily anticipated CMS 2023 Proposed Medicare Physician Payment Rule is a whopping 2,066 pages long and includes numerous provisions that will impact physician groups next year.
Two 2023 CMS Payment System Final Rules Released
CMS releases Fiscal Year 2023 Inpatient Rehabilitation Facility Prospective Payment System Final Rule (CMS-1767-F) and Fiscal Year (FY) 2023 Skilled Nursing Facility Prospective Payment System Final Rule (CMS 1765-F).
2023 Medicare Hospital Outpatient Prospective Payment System
On July 15, 2022, CMS proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center services. The calendar year 2023 Hospital Outpatient Prospective Payment System and ASC Payment System Proposed Rule is published annually and will have a 60-day comment period, which will end on September 13, 2022.
When Medicare Billing Codes Lose Their Leverage
By David Burda – Hospitals, health systems and medical practices are businesses just like businesses in any other industry. They respond to economic incentives, and they do things for economic reasons. Plain and simple. Well, maybe not so plain and simple.
Medicare Promoting Interoperability Program Hardship Exception Applications Available Now
CMS opened the Hardship Exception Application period for eligible hospitals and critical access hospitals that participated in the Medicare Promoting Interoperability Program in Calendar Year 2021.