Susan Morse
New proposed rule offers insurers more plan flexibility and eases regulations.
Advanced payment models should qualify as downside risk for advanced APMs under MACRA, AHA says.
Proposed rule would update star rating methodology, save Medicare close to $200 million over 5 years.
Anthem Blue Cross and Blue Shield and Hartford Healthcare enter new three-year agreement retroactive to October 1.
Hospitals challenged CMS after the agency gave a 0.2 percent downward adjustment to inpatient payment under the two-midnight rule.
More than three-fourths, 77 percent, of Medicare Advantage enrollees remaining in their current plan will have the same or lower premium for 2018, CMS says.
Bill would negate a Centers for Medicare and Medicaid Services rule cutting $1.6 billion for drugs purchased by certain hospitals covered under the 340B program.
Improper payments decreased $5 billion from a total $36.2 billion due mostly to documentation errors.
The value-based models resulted in 6 percent fewer hospital inpatient admissions and 7 percent fewer emergency department visits.
The government said it intends to collect from insurers the full 2016 risk corridors payments this month.