Physicians Escape Medicare SGR Cut, But Payments Frozen for 2013

On New Year’s Day, in the last hours of its second and final session, the 112th Congress blocked a 26.5 percent cut in Medicare Part B physician payments scheduled to take effect Jan. 1 and approved a … [Read more...]

Congress Delays Medicare, Other Sequestration Cuts

Across-the-board cuts in federal spending scheduled to kick in Jan. 1 have been postponed for two months, until March, under the American Taxpayer Relief Act that Congress passed on New Year’s Day and … [Read more...]

Independent Payment Advisory Board Draws New Fire From House GOP Opponents

At the opening of the first session of the 113th Congress, the House Republican leadership lost no time in registering opposition to the Independent Payment Advisory Board (IPAB) created by the health … [Read more...]

HHS Approves 106 New ACOs Under Medicare for 2013

In a major expansion of the Medicare Shared Savings Program, 106 new accountable care organizations (ACOs) have been approved for 2013, the U.S. Department of Health and Human Services (HHS) announced … [Read more...]

CMS Finalizes Physician Payment ‘Sunshine’ Rule

A final rule, released Feb. 1 by the Centers for Medicare and Medicaid Services (CMS), requires medical device and drug manufacturers to report payments to physicians and teaching hospitals. The rule … [Read more...]

CMS Rolls Out New Medicare Bundled Payment Initiative

More than 500 organizations will begin participating in the Bundled Payments for Care Improvement initiative, the Centers for Medicare and Medicaid Services (CMS) announced Jan. 31. Under the … [Read more...]

House Bill Would Repeal Independent Pay Advisory Board

A bill has been reintroduced in the House to repeal the Independent Payment Advisory Board (IPAB) created by the health care reform law and scheduled to begin operating by April 30. Similar … [Read more...]

Focus On: Health Insurance Reform: New Rules on Essential Benefits, Consumer Protections

The U.S. Department of Health and Human Services (HHS) has finalized major new rules for individual and small-group plans governing the services they must cover and the protections that must be … [Read more...]

CMS to Deny Claims That Fail Ordering, Referring Provider Edits

Clinical laboratories, pathologists, and a host of other Medicare providers will be affected when as of May 1 the Centers for Medicare and Medicaid Services (CMS) fully implements its edits of claims … [Read more...]

Congress Takes a Short Breather From Budget Battles

Before Congress left town for a two-week spring break, which ends April 8, lawmakers approved several budget matters. They passed a continuing resolution to avert a government shutdown at the end of … [Read more...]


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