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Highlights:
30-days readmission rates for myocardial infarction, heart failure and pneumonia "reduced more rapidly than before the law's passage," since after the passage of the Medicare Hospital Readmissions Reduction Program (HRRP), in accordance to a recent study released in Annals of Internal Medicine.
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The Centers for Medicare & Medicaid Services (CMS) released a final rule (the Final Rule) on December 20, 2016 which involves 3 latest mandatory episode-based payment programs for cardiac care, as well as the expansion of the Comprehensive Care for Joint Replacement Model (CJR). The models are executed by the CMS Innovation Center, under authority issued in the Affordable Care Act (ACA). CMS also developed a Medicare ACO Track 1+ Model in the Final Rule to incentivize more small practices to proceed to performance-based risk.
An international or global leader in rapid diagnostic tests, Alere, today issued an update on the decision by the Centers for Medicare & Medicaid Services (CMS) to revoke Arriva Medical's Medicare billing privileges of Arrive Medical. Arriva is considered to be the largest Contract Supplier under the Medicare National Mail Order Competitive Bid Program for Diabetes Testing Supplies, having achieved agreements in every round of bidding and demonstrating its trusted supplier status to Centers for Medicare & Medicaid Services (CMS). An appeal has been filed by the Arriva with the Administrative Law Judge (ALJ) at CMS seeking to reinstate billing status of Arriva. Arriva hopes that the ALJ to hear the appeal within thirty days and release a decision within 3 months. The following statement has been issued by Arriva:
CMS (Centers for Medicare and Medicaid Services) released an interim final rule with comment period on December 14, 2016 to modify and amend Medicare’s dialysis facility conditions for coverage to require few disclosures to sufferers and health insurance issuers to deal widespread uncertainties over unsuitable steerage of dialysis patients to individual market plans. CMS decided to concentrate on dialysis providers provided the “overwhelming majority of comments [got in response to the RFI] focused on sufferers with [end-stage renal disease (ESRD)]” and “the high charges and absolute necessity of transplantation or dialysis” for individuals with ESRD after releasing an RFI about “unsuitable steering of people eligible for Medicare or Medicaid into Marketplace plans” by third parties in August 2016.
While important progress has been made by Centers for Medicare and Medicaid (CMS) towards implementing its new Quality Payment Program (QPP), meant to honor and reward providers for value-based care, there are susceptibilities that CMS must deal next year if the program is to succeed.
IRCCO ACO and RoundingWell Merges to Enable Improved Patient Engagement, Care Coordination12/26/2016 An integrated care management software provider, RoundingWell, declared today a compliance with the Illinois Rural Community Care Organization (IRCCO) to deploy RoundingWell in support of an accountable care organization (ACO) initiative across the region of Illinois comprised of twenty-four critical access and rural hospitals, thirty-five rural health clinics, and fourteen independent rural physician practices. The care management platform of RoundingWell's will assist integrated clinician teams of IRCCO provide care for more than 24,000 Medicare beneficiaries.
For adding two health systems to the network Jan. 1, Care Quality merges with Accountable Care Organization (ACO).
The networks are Beebe Healthcare in Lewes and Atlantic General Hospital and Health System in the region of Berlin, Maryland. As eBrightHealth ACO, accountable care organization (ACO) will start doing business. This week CMS (Centers for Medicare and Medicaid Services) revealed the details of its latest ACO offering in the Medicare Shared Savings Program — Track 1+ — intended to emphasize smaller physician practices and small rural hospitals to adopt risk.
To know about the Track 1+ Model, here are the top five things to note: HHS' Office of the Inspector General (OIG) has highlighted 2 vulnerabilities during the analysis of how CMS (Centers for Medicare and Medicaid Services) has managed the rollout of the Medicare Access and CHIP Reauthorization Act (MACRA) so far that must be dealt next year.
Caradigm issued latest modifications to its product portfolio that it claimed will assist healthcare organizations comply with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
The wash.-based population health management vendor, bellevue, also unveiled bundled payments for value-based programs. |
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