CMS finalized the proposed bundle payment system for its hip and knee replacement surgery known as the CCJR model on November 16. Even though the final rule makes some...
The 2016 open enrollment period for health insurance plans sold in HIEs has officially ended. With this over now, information is starting to flow in towards the third open...
CMS announced towards the end of last month that they have created a new online system, which allows submitting applications for hardship exemption for the Meaningful Use Incentive Program...
CMS recently posted on their blog that they intend to stop some of the special enrollment periods for the Federal HIE. Insurers around the country find this news welcoming....
The Office of the Inspector General (OIG) and Department of Health and Human Services (HHS) invited recommendations and proposals from the public on improving OIG Special Fraud Alerts and...
UnitedHealth’s earnings report reveals it has been losing significant money on the HIEs established under the Affordable Care Act. Consequently, the insurance provider is considering withdrawing from the Exchanges...
One of the main topics discussed during the December meeting of Medical Payment Advisory Commission (MedPAC) was about a proposal that would rule out certain sections of the existing...
December 2015 saw the judgment on a crucial case in the healthcare industry. The case was between a prominent insurance service and a healthcare provider, about the assignment of...
The ACA is has a requirement for insurance companies and Co-Ops to take part in HIEs, as a way to return part of their profits to the Federal government...
The Centers for Medicare and Medicaid Services issued its annual proposed rule on 20 November 2015. Therein, the agency summarizes the criteria for health insurance plans which will be...
The ACA open enrollment is proceeding. Health insurance claimants for plans sold on the federal and state HIEs are enrolling at present, and there is very little time left...
The Centers for Medicare and Medicaid Services (CMS) insists that Exchange Sold Health Plans should be based on a set of requirements. As such, it has released a list...
In a latest move, the Centers for Medicare and Medicaid Services (CMS) have decided to seek opinions from public on improving Medicare Administrative Contractor (MAC) contracts. As part of...
The move to ICD-10 has apparently evaded most of the obstacles healthcare stakeholders predicted. Despite that, HBMA members have uncovered many challenges in the transition to the new coding...
The US Senate passed a crucial bill on 18 December 2015, on the last legislative day of year. The bill titled ‘Fiscal Year 2016 Omnibus Appropriations’ is designed to...
The CMS recently put out a report on the main healthcare concern in the US, which happens to be aggregate annual spending. With the preceding five years of growth...