A group of clinical laboratories lost their legal challenge to a multibillion-dollar Medicare reimbursement cut after a federal judge tossed the lawsuit on procedural grounds.
The CMS has awarded seven organizations a total of $26.6 million to develop quality measures that address areas of care that aren't currently included in the Quality Payment Program.
A push by Big Pharma to claw back Medicare Part D donut hole money as part of the opioids package has hit sharp Democratic opposition.
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.
The CMS warned that Aurora Chicago Lakeshore Hospital, one of the city's largest psychiatric hospitals, is not adequately protecting suicidal patients from harming themselves and could lose its Medicare billing privileges.
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.
The CMS wants to buck a trend of hospitals denying patient transfers from ambulatory surgery centers. The proposal is part of a broader effort to reduce providers' administrative burdens and improve access to care.
In 2017, the CMS' quality improvement organizations reported progress on a number of fronts in improving care for Medicare beneficiaries.
A bipartisan group of senators urged the CMS to expand a Medicare Advantage experiment and include substance abuse disorder treatment in the program. The move could help combat the opioid epidemic, they claim.
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.
Lawmakers want the CMS to abandon proposed changes to Medicare billing codes they fear will lead to doctors who treat the sickest patients being underpaid.
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.