For the last several years now, anyone in the healthcare provider sector, has heard about or been highly anticipating the move to ICD-10. The upcoming change will obviously require investments to be made, but will be more costly to those…
Just a month ago, the endeavor to pass a bill that would require Georgia insurances to cover those with autism appeared to be dead. However, through the efforts of child advocates and legislators a reworked bill (House Bill 429) was…
Meaningful Use With SGR repealed and the Medicare Access and CHIP Reauthorization Act (MACRA) H.R. 2 now in place, Meaningful Use requirements are still very much in place, despite some pivotal adjustments. Attesting to Stage 3 Meaningful Use is still necessary…
On April 1, 2015, the Medicare Physician Fee Schedule (MPFS) was updated using the Sustainable Growth Rate (SGR) methodology as required by current law. The SGR methodology required a 21% decrease in all MPFS payments beginning April 1, 2015. The…
By: Ayla Ellison There are five trends that emerged in 2014 that are likely to prove costly in 2015, according to a recentForbes article by Robert Pearl, MD, CEO of The Permanente Medical Group. 1. Hepatitis C drugs with high…
According to a recent proposal posted by CMS this week, health insurers offering Medicare Advantage plans will see their rates cut by approximately .95 percent in 2016. The finalized payment rates are expected to be final April 6th. Below is…
CMS intends to modify requirements for Meaningful Use JANUARY 29 By Patrick Conway, MD Today, we at the Centers for Medicare & Medicaid Services (CMS) are pleased to announce our intent to engage in rulemaking to update the Medicare and Medicaid…
Better, Smarter, Healthier: In historic announcement, HHS sets clear goals and timeline for shifting Medicare reimbursements from volume to value In a meeting with nearly two dozen leaders representing consumers, insurers, providers, and business leaders, Health and Human Services Secretary…
As the market continues down the path of value based care and reimbursement, more studies and survey’s will be conducted to serve as reference points for us in our toolbox and to help define VBC. Most recent being from Deloitte…
Posted January 7, 2015 Since Open Enrollment began on November 15, nearly 6.6 million consumers selected a plan or were automatically re-enrolled in the Federally Facilitated Marketplace (FFM). The Week 7 snapshot includes the New Year’s holiday; consumers continued to…