Proposed HR 2143, would prevent physicians from self-referring Medicare patients to in-office "ancillary services." According to the Congressmen who introduced the bill: “Multiple GAO studies have outlined the rampant abuse and waste of more than $3 billion of taxpayer money through Medicare reimbursement for unnecessary services that are driven purely by greed for personal profit,” Speier said in a statement. “Now is the time to improve the quality and … [Read more...] about Proposed Congressional Bill Would Affect Ancillary Services
Today the Centers for Medicare & Medicaid Services (CMS), in order to promote Medicaid and Medicare program efficiency, transparency, and burden reduction, proposed new rules that revise the applicable conditions of participation (CoPs) for providers and conditions for coverage (CfCs). The link of this rule will be republished in the Federal Register on Sept. 20. According to the fact sheet summary excerpt: This proposed rule would reform Medicare regulations that are identified as … [Read more...] about Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Patient care and value is at the forefront of many healthcare discussions in the industry. Physicians and nurses providing comfort, companionship, connection and support is considered to be just as important as providing actual medicinal treatments. Better care in relation to providing tele-medicine and high tech care in the healthcare system are the top of growing initiatives that put the patient first especially in nursing homes and hospice and palliative care facilities. According to … [Read more...] about High-Tech Healthcare and Telemedicine are the Fastest Growing Initiatives in Healthcare
Many families and health care providers are debating whether the Centers for Medicare and Medicaid Services, which runs Medicare (CMS) and Congress are doing enough to implement processes to protect patients and their families from hospice providers who may be exploiting the service. Recently, CMS finalized a $340 Million/ 1.8 percent increase in Hospice payments for Medicare Hospice providers. According to reports, the Office of Inspector General (OIG) at HHS synthesized 10 years of … [Read more...] about CMS authorizes increase of $340 million in Hospice payments for FY 2019
Palliative and hospice care can improve both the quality of care and quality of life for patients who are terminally ill and their families. Now the Senate has the decision to follow the U.S. House of Representatives, which has unanimously approved a bill that would help doctors and other healthcare professional elevate their skills in providing hospice and palliative care. The H.R.1676 - Palliative Care and Hospice Education and Training Act would also increase palliative care research and … [Read more...] about Palliative Care and Hospice Education and Training Act goes to Senate For Approval, May Become Law
CMS new Patient-Driven Payment Model (PDPM) will be implemented on Oct. 1, 2019. CMS finalized the Patient-Driven Payment Model for skilled nursing facilities (SNF), which will link Medicare payments to value and care, rather than volume/ fee-for-service care. The rule according to news reports “would reduce documentation standards around patient assessments, saving facilities approximately $2 billion over 10 years," and would "give a $975 million collective raise next year to post-acute care … [Read more...] about New CMS payment system for skilled nursing facilities reimburses providers for care not volume
In a new NEJM Catalyst Buzz Survey, the question of who is the biggest driver of high healthcare costs brings physicians, healthplans, pharmacuetical & bio-tech companies under scrutiny. Doctors who have been blamed for the inflated cost of US healthcare due to expensive recommendations or overtreating patients have maintained that even though the discussion needs to be had with patients about healthcare costs, they have no power to determine the price of a drug or new healthcare … [Read more...] about Who has the greatest impact on high healthcare costs?
The 11-member Physician-Focused Payment Model Technical Advisory Committee(PTAC) established by MACRA to consider whether models submitted by stakeholders qualify as Medicare alternative payment models voted to move forward on proposals for two alternative payment models for review by the HHS secretary. One model, the Patient and Caregiver Support for Serious Illness model, was submitted by the American Academy of Hospice and Palliative Medicine. The second model is the Advanced Care Model … [Read more...] about Two new proposals address alternative payment models for patients in Palliative Care.
Beginning on Jan. 1, 2019, physician assistants can now supervise cardiac and pulmonary rehabilitation programs under the Medicare program as well as provide and manage Hospice care for terminally ill Medicare patients. The extended medical privileges for physicians assistants could benefit Medicare beneficiaries who live in medically underserved and rural communities, where a PA might be the only available medical professional to provide some services, according to news reports. According to … [Read more...] about New Hospice Care Law allows Physician Assistants to manage Hospice care for Medicare Patients
President Donald Trump called on Congress to pass right-to-try legislation. According to reports, the right-to-try’ legislation that aims to help terminally ill patients access experimental therapies and drugs that have not been approved by the Food and Drug Administration outside of clinical trials, was passed through the Senate and is now undergoing disputes from doctors, ethicists, and lawyers. The medical providers and supporters who strongly oppose the bill argue that giving … [Read more...] about Doctors, Lawyers want Congress to halt ‘Right-To-Try’ Legislation for Terminally-Ill Patients