The changes are expected to boost star ratings, which will increase insurers’ quality bonus payments. CMS estimates the revisions will increase federal spending by $18.6 billion over the next decade.
This story has been updated after publication with reaction comments from hospital industry associations. | The IPPS and LTCH ...
Central to Innovaccer's differentiation in the ACCESS Model is Adaptive Program Intelligence, Innovaccer's proprietary engine that dynamically adjusts intervention intensity, from AI-only, hybrid, or ...
CMS has improved its online enrollment system, formally the Medicare Provider Enrollment, Chain, and Ownership System, to allow providers to see if they need to revalidate their data and digitally ...
The feds have AI reviewing whether claims through traditional Medicare are 'medically necessary' — upending longstanding ...
CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...
The Centers for Medicare & Medicaid Services is increasingly relying on a relatively new — and recently expanded — regulatory tool to quickly remove clinicians and companies from the Medicare system ...
As we near the turnover of administrations, Health Affairs Forefront offers a series of articles from leaders at the Centers for Medicare and Medicaid Services providing their thoughts on the major ...
Accountable care organizations concerned they would be held responsible for bad actors exploiting the Medicare system can breathe a sigh of relief. The Centers for Medicare & Medicaid Services (CMS) ...
For patients with heart disease, delays in treatment can be a death sentence. All too often in our health care system, red ...