The CMS has decided to temporary discard all new proposals from health insurance companies, who are seeking to enroll their Medicaid or commercial patients directly into their own Medicare...
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 Health Insurance Portability and Accountability Act (HIPAA) was made a law on 21 August 1996. HIPAA is still the law with jurisdiction over privacy and security of personal...
The ruling party has reacted to the bad news that is circulating against Affordable Care Act marketplaces for quite some time now. The news indicates that ACA marketplaces have...
The new hospital star rating system was released by CMS last month, despite of the attempts from hospital advocacy groups to stop publishing the star ratings. The hospital ratings...
The health technology startup, Theranos, face another major challenge, as the Democrats have demanded the US Food and Drug Administration (FDA) and Centers for Medicare and Medicaid Services (CMS)...
The United States Department of Health and Human Services (HHS) is collaborating with international players for combating antibiotic resistance and for developing and discovering new antimicrobial products. HHS has...
ONC recently announced the Phase 1 winners of their Consumer Health Data Aggregator challenge. The objective of the app challenge was to make it easier for both patients and...
The Medical Trustees recently released their annual report on the Hospital Insurance (HI) trust fund and the Supplementary Medical Insurance (SMI) trust fund. The Medicare program covered around 55.3...
A group of selected HBMA members, along with the HBMA GR Committee, is reviewing the proposed rule by CMS that details how it would implement the new Medicare value-based...
ONC just let out a list of health IT products and developers, which includes EHR systems that have broken the requirements of health IT certification, like strong patient privacy...
There have been new developments in the hospital lawsuit against the “Two-Midnight” rule introduced by CMS in fiscal year 2014. The Federal agency correspondingly reduced inpatient payment rates by...
March saw the HHS come out with details on their goal to tie 30 percent of Medicare payments to alternative payment models (APM). These are meant to award quality...
America’s Health Insurance Plan (AHIP) is the biggest lobbying group in the health insurance industry in USA. It is reported that most of the leading healthcare insurance companies in...
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...