AHIP asks CMS to change Medicare Advantage payment formula
The Centers for Medicare and Medicaid Services should update its county benchmark calculation in the 2019 final notice being published April 2. […]
CMS offering $30 million in grant funding to improve quality measures
The funding is to develop partnerships with health systems, clinicians and others to improve measures in the quality payment program of MACRA. […]
A Healthy Start to the Plan Year Begins With Quality Medicare Advantage Enrollment Processes
For individuals who have Medicare, they have recently had the opportunity to enroll in a 2018 Medicare Advantage or other Medicare plan, […]
CMS MBI Notification
Client Notification Date: February 15, 2018 Topic: MBI Purpose: The following notification is to inform our Medicare Health Plan clients that HealthAxis Group […]
CMS launches voluntary bundled payments model, first since spiking mandatory bundles
The agency’s Innovation Center said the new Bundled Payments for Care Improvement Advanced model is the first APM that would qualify under […]
Claims Analytics Help Medicare Identify, Prevent Provider Fraud
The use of a claims analytics platform helped Medicare to identify and prevent millions of dollars in provider fraud. “Close to a […]
Quality Payment Program needs more technical assistance, oversight, OIG finds
A new report by HHS’ Office of Inspector General gives CMS points for making significant efforts to implement the Quality Payment Program […]
All but 2 states pay for live video Medicaid encounters
Healthcare Dive Brief “Medicaid programs in 48 states and the District of Columbia reimburse for some form of live video encounters, the […]
CMS takes aim at regulatory reforms to ease provider burden
Lack of productivity and increased workload among top complaints from providers surveyed The Centers for Medicare and Medicaid Services is committed to […]
Report shines light on ACO successes, strategies
The report highlights ACOs’ experience by evaluating proficiency across key activities, educating organizations about the importance of key activities and prioritizing improvement […]
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