Two-midnight rule coming to an end; hospitals in line for one-time payment

Posted on April 21, 2016 by henrykotula • Posted in Uncategorized • Tagged AHA, CMS, Health System, HHS, Hospital, Medicare, Two Midnight Rule • Leave a comment

http://www.revenuecycleinsights.com/news/two-midnight-rule-coming-end-hospitals-line-one-time-payment?mkt_tok=eyJpIjoiWldFNU1tWTBaR1JqTXpnNSIsInQiOiJLaDg2S09aMU56ektiYytVNFZKTWduSzlvXC8rSjRreTZzS1h0RWpINzJ6XC8zYjdKbFVOMXIwRXFCQ1RuTVNldVwvaks4YnNNTE9UeVwvMGVKenczVm9WZGRkVlVvWXBWT1BHT08yR0NvVGVqaVE9In0%3D

‘Innovation Center’ Tries to Reinvent Medicare

Posted on April 19, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, ACO, Center for Medicare and Medicaid Innovation, CMS, Health Policy, Medicare • Leave a comment

http://altarum.org/health-policy-blog/innovation-center-tries-to-reinvent-medicare

http://www.nytimes.com/aponline/2016/04/18/us/politics/ap-us-reinventing-medicare.html?_r=2&utm_campaign=KHN%3A+First+Edition&utm_source=hs_email&utm_medium=email&utm_content=28546798&_hsenc=p2ANqtz-8-_QJHvlQf3ncoPLfUIxBW8nmcJusVUM0tA1nGSU7XVJRgzkLgh2zRmOdqkgAqn34NAbWPmnGDWUMPs4fnfi_u3u_08A&_hsmi=28546798

CMS may ban Theranos founder Elizabeth Holmes for 2 years, sanction company, WSJ says

Posted on April 14, 2016 by henrykotula • Posted in Uncategorized • Tagged Blood Testing Lab, CMS, CMS Sanctions, Compliance, Medicaid, Medicare, Theranos • Leave a comment

http://www.healthcarefinancenews.com/news/cms-may-ban-theranos-founder-elizabeth-holmes-2-years-sanction-company-wsj-says?mkt_tok=eyJpIjoiT0RZMFptTmtNMlJsTUdVMiIsInQiOiJuZjAwWEdTaDd6S0hXT0NjTlwvMXlTZ0oySVBWN3RFUFBcL1JGeDVWMFBSMEp4ekR6cFJXUjRhOEIrUkNVbEZuZFlBanQ0a3FPZ2Nzem1QbnQzZUxITDRKTlFVcjFTazRpc2ZVb0doR0lQTGRBPSJ9

If the company doesn’t respond to the satisfaction of the regulators, CMS will impose the sanctions.

Payment Reform: What’s at Stake for Cath Lab?

Posted on April 11, 2016 by henrykotula • Posted in Uncategorized • Tagged Bundled Payments, Cath Lab, CMS, Fee for Service, Interventional Cardiology, Merit-Based Incentive Payment System (MIPS), Physician, Reform, Value Based Health Care • Leave a comment

http://www.healthleadersmedia.com/leadership/payment-reform-whats-stake-cath-lab

Although newer payment models will continue to evolve over the next few years, interventional cardiology has made small gains recently by becoming a specialty recognized by the Centers for Medicare & Medicaid Services.

House Republicans unveil 2017 budget: 7 things for healthcare leaders to know

Posted on April 6, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, Block Grant Medicaid, CMS, Health Policy, Health System, Hospital, Independent Payment Advisory Board, Medicaid, Medicare, Premium Support Model • Leave a comment

http://www.beckershospitalreview.com/finance/house-republicans-unveil-2017-budget-7-things-for-healthcare-leaders-to-know.html

CMS’ final 2017 Medicare Advantage rates lower than expected

Posted on April 5, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, Capitation Rates, CMS, Health System, Hospital, Medicare Advantage, Medicare Part D • Leave a comment

http://www.healthcaredive.com/news/cms-final-2017-medicare-advantage-rates-lower-than-expected/416809/

How Medicare Drug Plans Hope To Follow Private Sector Lead

Posted on March 18, 2016 by henrykotula • Posted in Uncategorized • Tagged CMS, Drug Reference Prices, Drug Reimbursement, Drug Risk Sharing Agreements, Health Policy, Medicare, Medicare Part B, Out of Pocket Costs • Leave a comment

http://khn.org/news/how-medicare-drug-plans-hope-to-follow-private-sector-lead/?utm_campaign=KHN%3A+First+Edition&utm_source=hs_email&utm_medium=email&utm_content=27439261&_hsenc=p2ANqtz-_SVMHLNJrfl4N65gMF0IzK_bkEgZc88a2tBnFJXaabbO-nCF8iaEc8CQd1Fp0-WRuI8_Q7-UxhlLM_JrdQS9nOm5rJQw&_hsmi=27439261

medicaredrugprices

Medicare payment cuts, hospital closures, and patient harm

Posted on March 11, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, CMS, Health System, Healthcare Costs, Hospital, Hospital Closures, Market Consolidation, Medicare • Leave a comment

http://blog.academyhealth.org/medicare-payment-cuts-hospital-closures-and-patient-harm/

Obama administration ties 30% of Medicare payments to quality

Posted on March 4, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, ACO, CMS, Health System, Hospital, Medicare, Quality of Care, Value Based Health Care • Leave a comment

http://www.healthcaredive.com/news/obama-administration-ties-30-of-medicare-payments-to-quality/415047/

New Health Care Symposium: States’ Critical Role Overseeing Vertical Health Care Integration

Posted on March 3, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, ACO, Antitrust, CMS, Health Policy, Health System, Hospital, Vertical Integration • Leave a comment

http://healthaffairs.org/blog/2016/03/03/new-health-care-symposium-states-critical-role-overseeing-vertical-health-care-integration/

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