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Medicare

RACs seek to regain reviewing privileges for Medicare claims

RACs seek to regain reviewing privileges for Medicare claims

Recovery audit contractors recouped more than $400 million in improper Medicare payments in fiscal 2016 and are now urging Congress to increase their ability to review more claims. But Hospitals want to further reduce the amount of claims RACs review.

Congress questions its role in healthcare price transparency

Congress questions its role in healthcare price transparency

The Senate's health committee is questioning the government's role in helping patients understand what they should pay for their healthcare—and whether Congress can change the incentives in a complex system that doesn't encourage shopping.

CMS underestimated Medicare ACOs' savings

CMS underestimated Medicare ACOs' savings

The Medicare Shared Savings Program generated $1.84 billion in savings over three years, which is nearly twice the savings CMS data show, according to a new study commissioned by the National Association of ACOs.

Doctors may sit out Medicare Advantage alternative pay model

Doctors may sit out Medicare Advantage alternative pay model

The CMS' proposed Medicare value pay experiment isn't playing well for some physicians who feel the administrative burden is too high. Their concerns come after years of lobbying to have MA plans count as an alternative pay model under MACRA.

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