Reimbursement
A hearing on a requested injunction against the Trump Administration's rule ...
The value-based agreement will reimburse physicians based on patient outcomes.
Financial penalties for readmissions are mandated by the Hospital Readmission Reduction Program, a part of the Affordable Care Act.
Voluntary bundled payment model is tied to performance and also qualifies as an APM for MACRA.
A chief finding was that patients using NIV at home with a high-touch care model have the lowest overall costs and hospitalization rates.
Reforms to the local coverage determination process will increase transparency and patient engagement to ensure beneficiaries can get the latest therapies and devices.
The penalties for some facilities will be as much as 3 percent, the maximum allowed under federal law, which can translate into tens of thousands in lost revenue.
MA enrollment is projected to increase while plans offer new types of supplemental benefits, CMS says.
About 90 percent of New York hospitals will be penalized next year, and while that number is high, it's down 3 percent from 2018.
The report raises questions of whether Medicare Advantage plans inappropriately deny claims to increase profits.