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Docs to receive slightly better Medicare pay bump than originally proposed
Lack of funds leads prevents full Medicare pay increase.
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More physicians excluded from MIPS under final CMS rule
The “increase in the low-volume threshold is expected to exclude 540,000 clinicians who do not exceed” that threshold.
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Government uncertainty drives jump in ACA silver plan insurance premiums
Expected premium changes are highly variable by state, with Iowa seeing an increase of 69% for its silver plans, while Alaska expecting a 22%...
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Government uncertainty drives jump in ACA silver plan insurance premiums
Expected premium changes are highly variable by state, with Iowa seeing an increase of 69% for its silver plans, while Alaska expecting a 22%...
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Biosimilars poised to save $54 billion over the next decade
But uncertainty points to savings ranging from $24 billion to $150 billion.
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ACR: Use comparative effectiveness research for clinical decisions, not payers’ cost decisions
So far, there are little CER data on which to base clinical decisions, but registries of real-world data, such as the ACR’s RISE registry, aim to...
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Docs should engage employers directly if they want better payment models
Employers and payers need your input.
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Societies unite to develop cardiology subspecialty MOC products
Four groups are developing modules to help subspecialists meet the ABIM’s current 10-year maintenance of certification program.
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Trump halts ACA cost-sharing reduction subsidy payments
The action prompted criticism from medical organizations and health insurers alike.
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SHM pushes to protect patients from ‘surprise’ out-of-network expenses
Patients should not be on the hook for costs related to out-of-network insurance coverage when a hospital is in-network, medical societies say.
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Medicare fee schedule: Proposed pay bump falls short of promise
Physicians will likely see a 0.31% uptick in their Medicare payments in 2018 and not the 0.5% promised in the Medicare Access and CHIP...
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Trump order allows end-around ACA rules
President promises benefit for small business; physician groups object.
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MedPAC calls for MIPS repeal
WASHINGTON – Federal advisers consider a replacement plan before the first reporting year even concludes.
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House, Senate committees clear CHIP reauthorization
How different were efforts by legislators in the House and in the Senate?
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SHM suggests tweaks to CMS QPP proposal
The Society of Hospital Medicine approves of the direction CMS is heading when it comes to measuring pay-for-performance for hospitalists in its...