MACRA is the largest change in a generation for Medicare Part B reimbursement. As we come to the close of the first performance year, it’s a good time to reflect on the changes in 2017 and look ahead ...

Legislative reform recommendations for Congress to consider to further support flexible implementation and widespread participation in value-based and alternative payment models while delivering ...

A couple of weeks ago, the Centers for Medicare & Medicaid Services (CMS) released an important report that provides insight into a significant contributor of clinicians’ overall Medicare ...

The U.S. Department of Health and Human Services has issued a final rule on a new program called the Quality Payment Program, a part of the Medicare Access and CHIP Reauthorization Act. The two ...

In a proposed rule released Wednesday, the Department of Health and Human Services proposes streamlining the current patchwork system of reform used in Medicare payments to physicians. If finalized, ...

The Biden administration Thursday finalized policy changes for Medicare reimbursements in 2024 that will cut payments to physicians by 1.25% compared to 2023. The 2024 Medicare Physician Fee Schedule ...

The 2025 Physician Fee Schedule includes a conversion factor reduction, expanded behavioral health services, extended telehealth waivers, new Quality Payment Program pathways, and measures to address ...

The Medicare Shared Savings Program saved over $2.1 billion in 2023, enhancing care quality through ACOs. ACOs showed significant improvements in quality measures, including diabetes control, cancer ...

While the phrase “return to normal” is used in many different contexts, interestingly, it can now also be applied to the maximum payment adjustments that clinicians receive through the Merit-based ...

Accountable care organizations (ACOs) face unique burdens to comply with CMS’s new quality reporting requirements as summarized in this 2021 MedCity News article. Challenges are particularly acute for ...