CMS gives healthcare 6 years to repay Medicare overpayments in final rule

Posted on February 11, 2016 by henrykotula • Posted in Uncategorized • Tagged CMS, False Claims Act, Health System, Hospital, Medicare • Leave a comment

http://www.healthcarefinancenews.com/news/cms-gives-healthcare-6-years-repay-medicare-overpayments-final-rule?mkt_tok=3RkMMJWWfF9wsRonua3JcO%2FhmjTEU5z16ukvX6%2B%2Fh4kz2EFye%2BLIHETpodcMTcFgN7zYDBceEJhqyQJxPr3MLtINwNlqRhPrCg%3D%3D

The Centers for Medicare and Medicaid Services. (Wikipedia)

The proposed rule mandating providers be on the hook for overpayments going back 10 years faced still opposition.

A Voter’s Guide To The Health Law Chatter

Posted on February 8, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, Health Insurance Coverage, Health Policy, High Deductible Health Plans, Medicaid, Medicare • Leave a comment

http://www.npr.org/sections/health-shots/2016/02/06/465739617/a-voter-s-guide-to-the-health-law-chatter?utm_campaign=storyshare&utm_source=twitter.com&utm_medium=social

Legislators take aim at Stark law in light of value-based payment changes

Posted on February 3, 2016 by henrykotula • Posted in Uncategorized • Tagged Anti-Kickback, Health Policy, Medicaid, Medicare, Physician, Self Referral Laws, Stark Law, Value Based Health Care • Leave a comment

http://www.fiercehealthpayer.com/antifraud/story/legislators-take-aim-stark-law-light-value-based-payment-changes/2016-02-02?utm_medium=nl&utm_source=internal&mkt_tok=3RkMMJWWfF9wsRonvqjKde%2FhmjTEU5z14ukkX6a2lMI%2F0ER3fOvrPUfGjI4ARMBgNq%2BTFAwTG5toziV8R7LMKM1ty9MQWxTk

Representatives and senators seek input on self-referral laws

Kaiser Health Tracking Poll: January 2016

Posted on January 30, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, Elections, Employees Out of Pocket Costs, Health Insurance Premiums, Health Policy, Healthcare Costs, Medicaid, Medicare, Reform • Leave a comment

Kaiser Health Tracking Poll: January 2016

Figure 2: No Single Health Issue Stands Out for Voters

Wachter on Excessive Measurement

Posted on January 23, 2016 by henrykotula • Posted in Uncategorized • Tagged Clinical Data Analytics, CMS, Health System, Hospital, Medicare, Physician, Quality Care, Quality Metrics • Leave a comment

Wachter on Excessive Measurement

Brown & Toland leaves Pioneer ACO, declines to join Next Generation

Posted on January 21, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, ACO, CMS, HMO, Medicaid, Medicare, Medicare Shared Savings Program, Next Generation, Physician Organizations, Pioneer ACO, PPO • Leave a comment

http://www.healthcarefinancenews.com/news/brown-toland-declines-participate-pioneer-next-gen-despite-success?mkt_tok=3RkMMJWWfF9wsRonuqnJde%2FhmjTEU5z16ukvX6%2B%2Fh4kz2EFye%2BLIHETpodcMTcBmPL3YDBceEJhqyQJxPr3MLtINwNlqRhPrCg%3D%3D

Company cites upcoming program changes as reason for exiting the program, despite some success in first three years.

Screws Tighten on 340B Program

Posted on January 18, 2016 by henrykotula • Posted in Uncategorized • Tagged 340B Drug Discount Program, CMS, Health Policy, Health System, Hospital, Medicare, Medicare 340B Drug Discount Program, MedPAC Commission • Leave a comment

http://healthleadersmedia.com/content.cfm?topic=HEP&content_id=324594##

A MedPAC recommendation to reduce by 10% Medicare payment rates for 340B hospitals’ separately payable Part B drugs has been greeted with a chorus of boos from hospital trade associations.

Medicare Part D’s Importance Extends Far Beyond The Drug Benefit It Provides

Posted on January 16, 2016 by henrykotula • Posted in Uncategorized • Tagged CMS, Health Policy, Medicare, Medicare Part D, Prescription Drug Benefits • Leave a comment

http://healthaffairs.org/blog/2016/01/15/medicare-part-ds-importance-extends-far-beyond-the-drug-benefit-it-provides/

Blog_MedicarePartD

Experts predict reimbursement changes for 2016

Posted on January 7, 2016 by henrykotula • Posted in Uncategorized • Tagged CMS, Health System, Hospital, Medicare, Narrow Networks, Reimbursement, Value-Based Healthcare • Leave a comment

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/experts-predict-reimbursement-changes-2016

How Postacute Care is Evolving

Posted on December 19, 2015 by henrykotula • Posted in Uncategorized • Tagged Health System, Hospital, Medicare, Post Acute Care, SNF • Leave a comment

http://healthleadersmedia.com/content.cfm?topic=FIN&content_id=323688##

With shared interests in reducing readmission rates and associated Medicare payment penalties, hospitals and skilled nursing facilities are in the vanguard of an evolutionary movement.