Latest Headlines

Latest Headlines

2011 CMS memo helped Medicare Advantage stocks soar

Insurers that offer Medicare Advantage plans reaped big rewards in February 2011 after the Centers for Medicare & Medicaid Services released a memo saying it was rethinking a move to ratchet up audits.

Feds expand Pioneer ACO program

The Pioneer ACO program was declared a success by the Centers for Medicare & Medicaid Services, and the agency announced this week that it will expand and extend the program in the coming years.

Second-year Pioneer ACO results 'encouraging'

Accountable care organizations aligned with Medicare's Pioneer ACO program saw smaller increases in Medicare spending compared to general Medicare fee-for-service beneficiaries in the Pioneer program's second year, according to a study published in the  Journal of the American Medical Association.

CMS posts updated electronic clinical quality measures

The Centers for Medicare & Medicaid Services has posted its annual update for the 2014 electronic clinical quality measures (eCQMs) for eligible hospitals and physicians.

OIG: CMS needs clearer funding guidelines for state-run marketplaces

The Affordable Care Act mandates that states that  received federal funding to establish their state-run health insurance marketplaces must be self-sustaining by Jan. 1, 2015. However, it's possible certain states may have violated this provision by using grants for operating expenses after the deadline passed, according to an audit from the Department of Health and Human Services Office of Inspector General.

CIOs vent frustrations with Meaningful Use Stage 3

The Centers for Medicare & Medicaid Services' proposed rules implementing Stage 3 of the Meaningful Use program and adding flexibility to the current stages are steps in the right direction but still challenging to providers, according to several hospital CIOs.

CMS: e-prescribing up but not embraced by all

Electronic prescribing has been growing steadily, if the electronic prescribing (eRx) incentive program is any indication, according to the latest report from the Centers for Medicare & Medicaid Services.

CMS proposes modest FY 2016 payment hike for rehab hospitals

The Centers for Medicare & Medicaid Services has issued a new proposed payment hike of 1.7 percent for inpatient rehabilitation facilities for the 2016 fiscal year. The increase would represent additional revenues of about $130 million. 

CMS takes closer look at hospice care benefit

The Medicare program will revisit how it pays for the hospice care benefit in an attempt to avoid duplicate payments,  Kaiser Health News  has reported. However, some advocates worry that any changes could make it more difficult for terminally ill patients to decide to switch to hospice care.

6 steps for surviving a Meaningful Use audit request

At the Healthcare Information and Management Systems Society's annual conference in Chicago last week, Cathy Borst, vice president and CIO at Chicago-based National Surgical Healthcare, and consultant Patty Guinn of Atlanta-based Cornerstone Advisors, outlined best practices for surviving an audit request.