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New APM Criteria For MIPS Participation Discussed
The HCPLAN is no longer the sole group working to develop APMs. There is also the Medicare advisory committee, which...
CMS Stretches RAC Program To Benefit Medicare
There are heavy controversies surrounding the tactics used by the RAC audits to date. But despite this, they have been...
ACA CO-OPs Meets State Finance Committee To Discuss Challenges In Health Insurance Sector
ACA has led to numerous changes in the healthcare industry, but its key agenda is to bring about a progressive...
Top Insurance Companies Plan To Leave AHIP
America’s Health Insurance Plan (AHIP) is the biggest lobbying group in the health insurance industry in USA. It is reported...
MACRA Urges Participation In APMs Over MIPS
The administration is certainly laying out a plan for the post-SGR period. With the Medicare Access and CHIP Reauthorization Act...
Bill To Cancel Affordable Care Act Vetoed By The President
The Affordable Care Act was enacted in 2010 and it is highly regarded as the signature piece of legislation under...
CMS Launches The Final Rule For Prior Authorization
On December 29, CMS published a final rule finalizing a prior authorization process for specific durable medical equipment, prosthetics, orthotics...
CMS To Adopt Testing Care Model
In a recent report, CMS said that it was going to adopt a new community based healthcare program for testing....
Enrollment In ACA Proceeds With A Surge
Following a strong start, enrollment in the QHPs sold at Health Insurance Exchanges set up under the ACA has fared...