Reimbursement
A new poll conducted by the American College of Physician Executives has found that doctors are almost evenly divided on whether or not their Medicare payment data should be made public.
CMS is applying a 1.8 percent payment update to IRF PPS rates for FY 2014, derived from a 2.6 percent market basket update that is reduced by a 0.5 percentage point multi-factor productivity adjustment and an additional 0.3 percentage point reduction as required by the ACA.
The Obama administration has published the last major rule that it needed to finalize before the opening of the health insurance exchanges Oct. 1. The exchange program integrity rule generally finalizes policies it proposed in January and June.
The Affordable Care Act (ACA) will lead to an increase in health insurance coverage and higher enrollment among people who purchase individual policies, but there will be no widespread premium increase in the individual health insurance market, according to a new study by health policy research firm RAND Corporation.
The Internal Revenue Service has published the final rule for the individual mandate, one of the most controversial elements of the Affordable Care Act, adding more detail and clarifying some areas around what comprises minimum essential coverage and the shared responsibility to obtain health insurance.
During the 2009 and 2010 fiscal years, 92 percent of the $95 million Alabama received in enrollment bonuses for the Children's Health Insurance Program was "not allowable in accordance with federal requirements," according to the U.S. Department of Health and Human Services' Office of the Inspector General.
Spurred by current regulatory trends, large North American healthcare organizations can expect to pay $34.5 billion for health IT next year.
The University of Pittsburgh Medical Center and health insurer Highmark have been engaged in contentious litigation for some time, amid a contract set to end in 2014, and now a series of advertising campaigns has brought Pennsylvania's governor into the debate.
Is it realistic to expect Accountable Care Organizations to achieve their cost-reduction targets in the first year of their programs? The experience of the original 32 Pioneer ACOs is suggestive.
Some of Alabama's bonus payments for CHIP deviated from federal requirements and should be repaid, according to the U.S. Department of Health and Human Services' Office of the Inspector General.