Policy and Legislation
MSSP earned shared savings payments totaling $3.1 billion, the highest since the program's inception.
Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.
Winners will be those who get and act on clinical data before patients get sick - and that’s a huge IT lift, says Dr. Don Rucker, former ONC head and current chief strategy officer of 1upHealth.
Ivor Jallah, 37, pleaded guilty earlier this year and has been sentenced to 120 months in federal prison.
According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.
A premarket piece for developer adherence gives providers peace of mind about the safety of the products they're using and a post market component calls for a feedback loop for end users and developers, says Jonathan French, senior director of public policy at HIMSS.
Insurer is seeking an injunction, claiming the downgrade was based on an "arbitrary and capricious" assessment.
An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries.
The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.