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December 27, 2017

House Panel Urges Changes to Stop Decline of Rural Health Care

Georgia House members have approved a set of bold proposals to strengthen rural health care in the state. According to Georgia Health News, “The recommendations from the House Rural Development Council include expanding insurance coverage through a Medicaid “waiver’’ project and…

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December 27, 2017

Ascension and Providence Health Talk Merger

St. Louis-based Ascension Health are in talks to merge with Renton, Washington’s Providence St. Joseph Health, which would create the largest hospital chain in America. The companies are the top two Catholic health systems in the nation. If the two…

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December 27, 2017

CVS to Buy Aetna for $69 Billion

CVS Health announced Sunday that it agreed to buy Aetna for a whopping $69 billion. The deal would be considered one of the largest transactions of the year, combining the drugstore giant and one of the biggest health insurers in…

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September 8, 2017

Quality Payment Program Timeline

January 1, 2017-December 31, 2017 | Performance period for 2019 payment (can report data for any 90-day period this year) March 31, 2017 | First APM snapshot; (also June 30 and Aug. 31) April 1–June 30, 2017 | Registration period for submitting data…

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May 4, 2017

Thriving in the Quality Payment Program

If there is one universal given in healthcare today, it’s the complexity and fear of the unknown of the Quality Payment Program (QPP), or MACRA, whichever title you prefer. From provider feedback, we have crafted an actionable approach to allow…

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April 4, 2017

How to Bill: Transitional Care Management

Transitional Care Management (TCM) bolsters the involvement of primary care physicians in the coordination of post-discharge care to reduce readmission. Patients with moderately complex diagnoses are eligible to receive TCM services during a 30-day window after their discharge from an…

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November 8, 2016

PQRS to MIPS Quality Metric Mapping

The 2,171-page final rule contains several differences that crosswalk existing PQRS measures to new finalized metrics. The simplest way to ensure your PQRS-to-MIPS transition goes smoothly is to search each quality metric and data submission method here. Several important tables…

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