Medicare & Medicaid
The integrated provider-payer network is expected to grow as Lumeris builds a network of physicians and hospitals outside of the BayCare system.
While the MSSP overall was a net cost to CMS in 2016, there is evidence that individual ACO performance may improve with experience.
CMS is also increasing the percent of encounter data in risk scores, a move opposed by stakeholders.
The alliance is one of the first, if not the first, national blockchain alliances for healthcare, says Optum engineer.
AHA and three of its member hospitals had sued HHS due to the long delay in processing claims appeals.
Diagnosing patients during the mild cognitive impairment stage could both save money and make the condition more manageable in the long run.
The Centers for Medicare and Medicaid Services should update its county benchmark calculation in the 2019 final notice being published Monday, April 2, AHIP says.
The problem has only gotten worse, and increasingly expensive, in recent years as more and more infants are born with opioid withdrawal symptoms.
Hospital legal spokesman blamed complex interpretation billing classification rules, said hospital cooperated fully with DOJ investigation.
Government watchdog estimated that during a 6-month audit period, Medicare paid hundreds of millions for services that did not comply with the agency's requirements.