Government: Page 149
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Survey: Group practices find MIPS too complex, burdensome
More than 70% of the practices MGMA surveyed said MIPS “does not support our practice’s clinical quality priorities."
By Shannon Muchmore • Aug. 10, 2017 -
Study shows meaningful use spurred hospital EHR adoption
Researchers looked at national hospital data before and after the program’s implementation and found annual gains in EHR use at eligible hospitals went from 3.2% before to 14.2% after.
By Meg Bryant • Aug. 9, 2017 -
CVS expanding MinuteClinic chronic disease programs
The company is enlarging its diabetes care management program and wants to add programs to manage asthma, hypertension, high cholesterol and depression over the next two years.
By Les Masterson • Aug. 9, 2017 -
Medicare competitive bidding program could save $25.7B over 10 years
The CMS, however, is temporarily delaying the next steps of the program.
By Les Masterson • Aug. 9, 2017 -
Residents protesting Mayo plan to consolidate 2 hospitals
Public officials and residents in the communities affected say they were blindsided by the health system’s announcement in June.
By Shannon Muchmore • Aug. 9, 2017 -
JAMA: Ignoring 'social risk' can underpay doctors for at-risk populations
The study looked at the Massachusetts Medicaid program's social determinants of health payment model.
By Les Masterson • Aug. 8, 2017 -
Appeals court rules against former Medi-Cal payment cuts
The court ruled the federal government shouldn't have approved the 10% cut in 2008 without evidence it wouldn't affect access to care for members of the state Medicaid program.
By Les Masterson • Aug. 8, 2017 -
Healthcare leaders challenging Anthem's ED policy in Missouri
The payer recently announced it will no longer cover what it views to be unnecessary ED services in Missouri.
By Les Masterson • Aug. 8, 2017 -
Maine Medicaid waiver application includes work requirements, asset testing
The document states Maine is trying to “preserve limited financial resources,” but the proposal has many detractors among policy experts.
By Shannon Muchmore • Aug. 7, 2017 -
HHS general counsel candidate vows to uphold ACA
Robert Charrow said he is a firm believer in applying the law as written. "And if an action is inconsistent with the law, I will not approve it,” he said.
By Les Masterson • Aug. 7, 2017 -
VA expands telehealth programs into video, online scheduling nationwide
Changes include a new regulation that will allow VA providers to serve veterans across the country using telehealth technologies.
By Les Masterson • Aug. 7, 2017 -
Deep Dive
Why hospitals should pursue diversity beyond the hiring process
Experts say managers must know how to recognize and deal with diversity-related conflicts, while executive ranks should reflect the demographics in their communities.
By Shannon Muchmore • Aug. 7, 2017 -
Florida Medicaid managed care demonstration gets 5-year extension
The state's uncompensated care pool will receive about $1.5 billion annually, based on the most current data on hospitals’ charity care costs.
By Meg Bryant • Aug. 4, 2017 -
Evergreen Health goes into receivership
The court order follows the collapse of a plan to switch the insurance co-op to for-profit status
By Meg Bryant • Aug. 4, 2017 -
Accreditors won't have to share hospital error reports, CMS rules
The agency said it wants to review and refine the proposal to ensure it’s in line with federal law.
By Meg Bryant • Aug. 4, 2017 -
CMS hospital payments to increase by $2.4B
The agency is moving forward with a controversial new formula for calculating uncompensated care payments that uses Medicare Cost Reports.
By Shannon Muchmore • Aug. 3, 2017 -
Molina posts $230M loss in Q2, eliminating 1.5K jobs
The company also announced it is pulling out of ACA exchanges in Utah and Wisconsin and scaling back participation in Washington state.
By Jeff Byers , Shannon Muchmore • Aug. 2, 2017 -
Premiums in California ACA plans expected to increase 12.5%
About 10% of people who get coverage through Covered California will need to find a new insurance company because of Anthem pulling back on ACA plans.
By Les Masterson • Aug. 1, 2017 -
CMS gives SNFs, inpatient rehab facilities payment boost
A new rule also removed certain claims data requirements for rehab facilities.
By Les Masterson • Aug. 1, 2017 -
Deep Dive
Trump's approach to opioid crisis worries experts
“There’s no question that the Medicaid cutbacks would be devastating” for the opioid crisis, Johns Hopkins’ Joshua Sharfstein says.
By Meg Bryant • July 31, 2017 -
CSR payments still in question after ACA repeal failures
With the deadline for adjusting individual market rates a little more than two weeks away, insurance companies are pleading with the White House and Congress to make the payments.
By Shannon Muchmore • July 31, 2017 -
Evergreen Health in tailspin after purchase group backs out
Just last month, Maryland’s insurance regulator gave the co-op the green light to move to for-profit status.
By Meg Bryant • July 28, 2017 -
Uncompensated care funding cuts set to begin next year
The CMS issued a proposed rule on Thursday that would enact ACA-mandated reductions to state Medicaid disproportionate share hospital payments.
By Jeff Byers • July 28, 2017 -
ACA repeal dealt major blow with failed early morning vote
Efforts to repeal the ACA aren't officially dead, but the latest setback raises further questions as to how or whether Republicans plan to proceed.
By Shannon Muchmore • July 28, 2017 -
FDA unveils digital health pilot program to speed up certification process
The agency also published its Digital Health Innovation Action Plan, which provides detail and timelines related to digital health and the 21st Century Cures Act.
By Jeff Byers • July 27, 2017