Healthcare Reform News
9 HEALTH CARE REFORM CHANGES 2012
2012 kicks-off rapid changes to health care reform. Please share this with your management and staff.Read more... For more Healthcare Reform News
CMS RELEASES FINAL CoP, REGULATORY BURDEN REDUCTION RULES
CMS released two final rules to streamline requirements for hospital participation in Medicare and Medicaid. The final rule addresses more than two dozen regulatory requirements for a broader range of providers, including hospitals, ambulatory surgical centers, end-stage renal disease facilities and durable medical equipment suppliers.Read more...
Healthcare Reform Weekly News Wire
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Week Of May 14, 2012
Week Of May 14, 2012
CMS EXPANDS MEDICAL STAFF DEFINITION TO INCLUDE APRNS, PAS
CMS expanded its definition of the medical staff, allowing non-physician practitioners to have privileges like other medical staff members. In an effort to cut some outdated requirements, CMS changed rules about medical staff oversight and roles.Read more...
NEW RULE WOULD BRING MEDICAID PAYMENTS FOR PRIMARY CARE IN LINE WITH MEDICARE’S
CMS issued a proposed rule implementing a Patient Protection and Affordable Care Act requirement that Medicaid pay primary care physicians at least as much as Medicare for certain services provided in calendar years 2013 and 2014.Read more...
INCREASED ACCESS TO PRIMARY CARE PROVIDERS
Increased access to primary care is a central feature in the Affordable Care Act (ACA): it includes increased pay for primary care providers (PCPs), expansion of medical homes and accountable care models that put population management in control of primary care, and more. See chart.Read more...
RETIRED COUPLES MAY NEED $240,000 FOR HEALTH CARE
Couples retiring this year can expect their medical bills throughout retirement to cost 4 percent more than those who retired a year ago, according to an annual projection released by Fidelity Investments.Read more...
NQF ENDORSES ALL-CAUSE UNPLANNED READMISSIONS MEASURES
The National Quality Forum (NQF) board of directors has endorsed two measures that address all-cause unplanned readmissions in hospitals.SIXTEEN ORGANIZATIONS CHOSEN FOR INDEPENDENCE AT HOME ACT DEMONSTRATION
The Department of Health and Human Service announced the 16 organizations that have been chosen to participate in the Medicare demonstration project called Independence at Home. The program coordinates a range of in-home primary care services for chronically ill Medicare beneficiaries. The program is set to start on June 1, 2012, and conclude May 31, 2015.
MEDICARE’S PROPOSED PAYMENT RULE AFFECTS POST-ACUTE SERVICES
The new proposed rule would strengthen the Hospital Value-Based Purchasing Program (VBP Program) to further Medicare’s transformation from a system that rewards volume of service to one that rewards efficient, high-quality care.EMPLOYERS, INSURERS EMBRACING TELEHEALTH, BUT BARRIERS REMAIN
More health insurers and employers are beginning to offer virtual physician visits via telehealth technology as a way to curb costs and improve access to care.ENROLLMENT STILL GROWING IN MEDICARE ADVANTAGE PLANS
Enrollment in Medicare Advantage plans rose to 8.4 million beneficiaries in April 2011, about a 6 percent increase from April 2010, according to a report from the Government Accountability Office.
NEW MEDICAID REGULATIONS GIVE STATES FLEXIBILITY WITH HOME AND COMMUNITY BASED SERVICES
State Medicaid programs have been granted additional flexibility in providing home- and community-based services to elderly and disabled individuals, according to new regulations. CMS has issued two final rules governing how states spend Medicaid funds on home and community based services (HCBS). The first rule, known as the Home and Community-Based State Plan Services Program and Provider Payment Reassignments, lifts existing “cumbersome” eligibility requirements on HCB...
CMS NAMES 27 MEDICARE ACOS
CMS announced the first 27 accountable care organizations to participate in the voluntary Medicare Shared Saving Program. Beginning this month, the selected organizations will be responsible for improving care for nearly 375,000 beneficiaries in 18 states through better coordination among providers.
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