Archive | Medicare

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HHS Announces New Value-Based Payment Initiative

The US Department of Health & Human Services (HHS) recently announced a new series of five value-based payment models being offered as the centerpiece of a five-year, value-based payment pilot. The pilot aims to ‘transform primary care to deliver better value for patients throughout the healthcare system.’ Formally known as the Primary Cares Initiative, the […]

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Pathways to Success Aims to Set New Direction for the Medicare Shared Savings Program

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule earlier this month that sets a new direction for the Medicare Shared Savings Program (MSSP). Referred to as “Pathways to Success,” the proposal would redesign the participation options to encourage Accountable Care Organizations (ACOs) to transition to two-sided models where they will share […]

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CMS Releases Proposed Updates to 2019 Physician Fee Schedule and Quality Payment Program

In July, CMS released its proposed revisions to the 2019 Medicare Part B Physician Fee Schedule. as well as the 2019 MACRA Quality Payment Program. The revisions propose several substantive changes to the structure and payment of key primary care E&M codes, important refinements to medical documentation rules, and adjustments to the 2019 Quality Payment […]

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New Medicare Cards Will Begin Rolling Out This April

A federally-mandated change to Medicare’s identification cards is scheduled to begin nationwide on April 1st. CMS will begin mailing new cards to all Medicare beneficiaries based on geographic location. For Medicare patients in North Carolina, new cards should begin arriving around June. CMS is replacing the current SSN-based Medicare ID Number (Heath Insurance Claim Number […]

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MACRA Reminder: Family Physicians Must ‘Pick Your Pace’ by End-of-Year

By the end of 2017, family physicians interested in participating within the Merit-based Incentive Payment System (MIPS) of MACRA must take action to avoid payment penalties under Medicare Part B. It’s not too late to collect data—submitting as little as one quality measure or one Improvement Activity will allow you to avoid a negative 4% payment adjustment […]

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It’s Not Too Late to Participate in MACRA’s Quality Payment Program

Medicare’s new Quality Payment Program’s first performance year is already underway and runs until December 31, 2017. For physicians and practices still weighing their options, it’s not too late to participate so you can potentially earn a positive adjustment as well as avoid any negative change. Physicians and practices can choose to participate in MIPS in one […]

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