A recent report released by the House Energy and Commerce Committee stresses on the failures of Consumer Operated and Oriented Plan (CO-OP) program from CMS. The non-profit startup insurers,...
The Republicans have been focusing on the way Obama Administration is repaying the insurers who are participating in Federal health insurance exchange under risk adjustment programs established by ACA....
The House Oversight and Government Reform Committee’s Subcommittee on Government Operations recently held a hearing to examine the program integrity efforts of different Federal Agencies, who were vulnerable to...
The Department of Health and Human Services (HHS) has now released a interim final rule that increases the maximum Civil Monetary Penalty (CMP) amounts for those agencies that are...
The fourth open enrollment period is to start in November, and the Affordable Care Act (ACA) is at a crossroads, when its success is taken into consideration. It seems...
The Chambers of Congress has found a way to fund the government through early December by passing a short-term Continuing Resolution (CR). This decision from the congress came just...
In a recent announcement, CMS declared their plans to launch a provider engagement initiative to improve the clinician experience in the Medicaid program. Reports indicate that the development of...
According to the Merit-based Incentive Payment System (MIPS), policymakers must review the earlier transition from Meaningful Use Stage 1 to Stage 2, while transitioning from MU Stage 2 to...
After months of active debate, California has became the latest state to adopt a law to protect the commercially insured users from unexpected out-of-network medical bills. With this move,...
CMS had announced the criteria for participation in Merit-based Incentive Payment System (MIPS) back in July. From January 1, 2017, CMS will start the process of replacing the Medicare...
Even though majority of the healthcare providers and organizations are working to find ways to restructure physician productivity strategies, payers are pushing for better value-based reimbursement adoption. As healthcare...
The Centers for Medicare & Medicaid Services (CMS) has recently launched a new initiative, named Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program. Though the program aims to streamline...
The Department of Health And Human Services (HHS) Inspector General Daniel Levinson recently called on CMS to work with Accredited Standards Committee (ASC) X12. The call was to incorporate...
The Department of Health and Human Services (HHS) and the Department of Justice (DOJ) recently announced some “adjustments” in Civil Monetary Penalties (CMPs) and False Claims Act (FCA) penalties....
The Obama Administration is now trying hard to pay health insurers billions of dollars that the Federal government owes under ACA. This is planned through a move that may...
The Centers for Medicare & Medicaid Services is planning to launch a new tool to help clinicians assess the potential impact of Merit Based Incentive Program (MIPS) on their...
The recently released “scathing” report from the Government Accountability Office (GAO) provides an insight on health information technology threats and cyber security preparedness. GAO reported that many investigations lead...
The Office of the National Coordinator for Health IT has requested officials to test pilot a tool, called C-CDA Scorecard. Reports say that the tool is designed to grade...
The Office of the National Coordinator (ONC) has released the Interoperability Standards Advisory (ISA) of 2017 draft for Health Information Technology for public comments. ONC said that the advisory...
CMS’ Center for Medicare and Medicaid Innovation (CMMI) recently announced their new Comprehensive Primary Care Plus (CPC+) program. This program is aimed at rewarding quality and value among the...