Most ACOs Would Flee Medicare Program if Pushed to Take on More Risk

A huge chunk of organizations says they would leave the Medicare Shared Savings Program if they're forced to take on financial risk, which could slow the system's transition to value-based care.  It’s also unclear whether the Centers for Medicare & Medicaid Services (CMS), which oversee the program, will make any new changes. A recent letter from the agency offered [...]

By | May 25th, 2018|Did You Know?, Health Care, Insurance, Retirement, Services|0 Comments

Reimbursement, Quality Scores & Risk Adjustment Improve HCC Practices

Hierarchical condition categories (HCCs) reveal the severity, complexity and interaction of member conditions. They are used by the Centers for Medicare and Medicaid Services (CMS) to adjust risk scores that determine payment for Medicare Advantage (MA) beneficiaries. With CMS leading the way, additional government and commercial payers leverage HCCs to drive quality ratings, shared savings, [...]

By | May 18th, 2018|Health Care, Insurance, Laws, Retirement|0 Comments

Administration Unveils ‘American Patients First’ Plan on Drug Costs

The administration unveiled it’s policy plan to tackle the rising cost of drugs. The "American Patients First" blueprint builds on the administration’s 2019 budget proposal and calls for changes in Medicare Part D alongside a focus on price transparency.  This "American Patients First" policy plan tackles the rising cost of drugs. The President called the proposal [...]

By | May 16th, 2018|Benefits, Did You Know?, Health Care, Insurance, Retirement|0 Comments

Advanced Bill Allowing Veterans to See More Private Health Providers

A US House of Representatives panel has advanced legislation to allows more veterans to see doctors outside the Veterans Affairs system.  The bill, the VA MISSION Act, passed the House Veterans Affairs Committee 20-2. This bill would allow more veterans to go outside the VA healthcare system and use private-sector doctors when VA medical centers [...]

By | May 14th, 2018|Benefits, Did You Know?, Health Care, Retirement|0 Comments