Latest Headlines

Latest Headlines

Why 2016 will be pivotal in practices' transition to value-based care [Interview]

The past year has been full of changes that will affect physician practices for years to come. For insights into what will matter most to practices in 2016, we turned to Reid Blackwelder, M.D., immediate past president of the American Academy of Family Physicians. In an exclusive interview with  FiercePracticeManagement, Blackwelder shared his thoughts on the impact of the shift to value-based care in general and the Medicare Access and CHIP Reauthorization Act in particular.

Expiring Medicare bonus incentive puts increased pressure on physicians' margins

The expiration of a Medicare incentive program aimed at primary care physicians will hurt margins in some practices, according to an article in  Kaiser Health News, though the overall effect on the Medicare market remains unclear.

The fine print: No raise for Medicare docs in 2016

If physician executives and hospital leaders have not yet read all 1,358 pages of Medicare's 2016 Physician Fee Schedule Final Rule, there is one finding that is essential for them to understand, writes  Kent Bottles, M.D.,  a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics, in a post for  Hospital Impact.

HIMSS, EHRA urge caution by CMS when structuring MIPS, alternative payment models

More stakeholders have weighed in on the structure of the Merit Based Incentive Program System and alternative payment models, with the Electronic Health Records Association and the Health Information Management and Systems Society both expressing concern about over-burdensome requirements.

CMS proposal discourages PSA testing by linking it to quality

The Centers for Medicare & Medicaid Services is proposing to tie physicians' recommendations for screenings for the prostate-specific antigen for non-recommended patients to their quality scores.

CHIME to CMS: Nix pass/fail Meaningful Use model, streamline quality reporting

The College of Healthcare Information Management Executives is urging the Centers for Medicare & Medicaid Services to streamline the reporting required for the Meaningful Use program to reduce the burden on providers, according to an announcement.

CMS unveils new bundled payment joint replacement initiative

A new federal government initiative will hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for joint replacements.

Chief experience officer role gains traction among payer, provider organizations

Amid an increased focus on customer service in healthcare, the new role of chief experience officer has emerged--one that both insurers and hospitals hope will add a personalized level of care, according to an article in  Managed Care Magazine.  

Medicare Part B premiums will stay flat for most in 2016

Most people with Medicare Part B will be exempt from any increase in premiums in 2016 and will pay the same monthly premium as they did last year, according to the Centers for Medicare & Medicaid Services.

CMS working on star-rating system for Medicare-Medicaid plans

The federal government is working to create a star-rating system that lets users rate and compare Medicare-Medicaid plans (MMPs), and in the meantime it will make quality data available about the plan available.