Medicare & Medicaid
Voluntary bundled payment model is tied to performance and also qualifies as an APM for MACRA.
Reforms to the local coverage determination process will increase transparency and patient engagement to ensure beneficiaries can get the latest therapies and devices.
Hemodialysis costs Medicare $80,000 per patient yearly; Researchers say use of nephrologist to slow progression could save Medicare $730 million.
Seniors can compare the cost and benefit of enrolling in traditional Medicare, or signing up for Medicare Advantage.
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.
Government alleged HMA unlawfully boosted inpatient admissions, submitted inflated claims to government payers and paid physician kickbacks for referrals.
In addition to those whose scores were directly impacted, some clinicians will see small changes in their payment adjustment after reapplication of budget neutrality, CMS said.
Rule threatens the stability of hospitals which will face more uncompensated care costs, says America's Essential Hospitals.