Reimbursement
Arkansas physician says he would be struggling to keep up with the rapid payment model changes without the ACO affiliation.
CMS will focus only on providers and suppliers that have high claim error rates or billing practices that vary significantly from their peers.
Centene, Blue Cross Blue Shield in individual states, others, fill gaps left by Anthem's exit from exchange market.
The five categories of special statuses ultimately determine the requirements you will have to comply with when you participate in MIPS, expert says.
Initiatives attempted "wholesale practice transformation," which yielded little financial gain or improvements in quality, authors wrote.
Expect CMS to release more voluntary bundled programs by the end of the year that focus on outpatient payments to physicians, expert says.
However, new research shows e-visits trigger an increase in office visits and phone consults, reduce the number of new patients and offer no noticeable improvement in patient health.
Number of people uninsured would be slightly higher in 2018 but slightly lower starting in 2020, report also says.
The Medicaid waiver is credit positive for Florida's not-for-profit and public hospitals because it helps them defray uncompensated care costs, Moody's says.
Survey was sent to 70,000 physicians via email in early August, and 1,033 physicians responded.