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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 Proposes Minor Increase to Physician Fee Schedule and Delays to Diabetes Prevention Program; Appears Willing to Reconsider Biosimilar Payments

On July 13, 2017, the Centers for Medicare and Medicaid Services (CMS) released the Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2018 proposed rule. The proposed rule updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule on […]

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CMS Finalizes New Bundled Payment Programs for Cardiac Care and Other Hip Surgeries

New Payment Models Are MIPS Eligible Advanced Alternative Payment Models On December 20, 2016, the Centers for Medicare and Medicaid Services (CMS) released the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) final rule. These new models add to […]

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Senators Introduce CHRONIC Care Act to Improve Care for Chronically Ill

Today, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 (S. 3504) was introduced Senate Finance Committee Chairman Orrin Hatch and Ranking Member Ron Wyden along with Senator Johnny Isakson and Senator Mark Warner, co-chairs of the Finance Committee Chronic Care Working Group. The CHRONIC Care Act hopes to […]

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