Gregory Twachtman
News
Critics say hospital price transparency proposal ‘misses the mark’
July 31, 2019
The proposal from CMS would require hospitals to make public both their list prices and the prices they negotiate with payers.
News
CMS plans to give MIPS an overhaul
July 31, 2019
CMS Administrator Seema Verma said the changes are designed to make measures more relevant and reporting less burdensome. The changes received a good early review from the American Medical Association.
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CMS proposes improved E/M payments, additional price transparency for hospitals
July 29, 2019
The Medicare Outpatient Prospective Payment System proposed rule for the 2020 annual update would require hospitals to publish the negotiated price by specific payer for select services that patients can schedule in advance.
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MIPS: Nearly all eligible clinicians got a bonus for 2018
July 23, 2019
Exceeding the performance threshold resulted in a bonus to fee schedule payments in 2018.
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Value-based metrics gain ground in physician employment contracts
July 12, 2019
Of 70% of health care recruitment searches that offered a production bonus, 56% featured a bonus based at least in part on quality metrics, up from 43% in 2018.
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MedPAC to Congress: End “incident-to” billing
June 26, 2019
Access to care should not be affected by paying nurse practitioners and physician assistants 85% of the physician fee every time.
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Medicare may best Medicare Advantage at reducing readmissions
June 25, 2019
Editorialists provide reasons to exercise caution when interpreting the results.
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Benefits of Medicare Shared Savings Program ACOs lacking
June 19, 2019
When employing an instrumental variable model, there was not an association with changes in total spending per beneficiary per quarter.
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Opioid prescriptions declined 33% over 5 years
June 7, 2019
The number of opioid prescriptions decreased 33% nationally from 2013 to 2018, according to the new report from the American Medical Association.
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Medicaid expansion associated with lower cardiovascular mortality
June 6, 2019
Counties in states that expanded Medicaid coverage had a significantly smaller increase in cardiovascular mortality rates in middle-aged adults, compared with nonexpansion counties.