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CMS Revamps Shared Savings Program and Consolidates 3.5 ACO Tracks to 2

In what it describes as an “overhaul” of the program, CMS released this evening a proposed rule making changes to its Shared Savings program for Accountable Care Organizations (ACOs). Called “Pathways to Success,” the proposal significantly alters the ACO program that was established in 2011 and expanded in 2015. CMS estimates that these changes will save the [...] Read More

CMS Finalizes Slightly Lower Hospice Rate Increase; but Overall Effects Remain the Same

This evening, CMS released its final  FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. The final rule updates hospice payment rates for FY 2019 and finalizes CMS’ proposal to allow physician assistants as designated hospice attending physicians effective January 1, 2019. The rule also includes changes to the Hospice Quality [...] Read More

Anticipating a Gap in DME Competitive Bidding, CMS Proposes Rules for 2019 Competition and Interim Pricing

This evening, the Centers for Medicare and Medicaid Services (CMS) released the CY 2019 proposed payment rule for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) and for the End-Stage Renal Disease (ESRD) program. The rule contains changes to the DMEPOS competitive bidding program and proposals for DME fee schedule payments where competitive bidding is […]

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