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CMS Cancels Two Mandatory Bundled Payment Models

December 01, 2017

The Centers for Medicare & Medicaid Services (CMS) finalized its decision to cancel two mandatory bundled-payment models and reduce the number of providers required to participate in a third model.

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Report Finds Drop in Uncompensated Care, Outpatient Growth for PA’s Non-Acute and Specialty Hospitals

October 31, 2017

Today, the Pennsylvania Health Care Cost Containment Council (PHC4) released its Annual Report on the Financial Health of Pennsylvania Non-General Acute Care Hospitals, finding that uncompensated care saw a decrease of 17 percent or $3.3 million in fiscal year 2016. Specialty hospitals saw the largest percent point decrease, followed by psychiatric and long-term acute care

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U.S. Senate Approves Bipartisan Plan to Improve Care for Seniors with Chronic Conditions

September 27, 2017

The U.S. Senate unanimously approved bipartisan legislation that will improve health outcomes for Medicare beneficiaries living with chronic conditions and also will lower costs.

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CMS Announces Major Changes to Bundled Programs

August 17, 2017

This week the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would significantly reduce mandatory bundled programs. 

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Employers Plan to Adopt Consumer-Focused Strategies to Reduce Health Care Costs

August 10, 2017

Two health care employer surveys released recently reveal that, faced with a five to 5.5 percent increase in health care benefit costs in 2018, United States employers plan to adopt new strategies to manage costs.

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Shift to Value-Based Payment Still Strong Under New Administration

July 05, 2017

The Centers for Medicare & Medicaid Services Center for Clinical Standards and Quality Director, Kate Goodrich, said that value-based payment programs are likely to continue under the new administration during an accountable care organization event in Virginia last week.

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Start of Joint Replacement Model and 340B Final Rule Delayed

May 19, 2017

This week, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that further delays to January 1 the start date for its Cardiac and Comprehensive Care for Joint Replacement Bundled Payment Model. In addition, Health Resources and Services Administration (HRSA) delayed to October 1 the effective date of its final rule on 340B drug ceiling prices and civil monetary penalties for manufacturers.

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HAP: AHCA Vote Threatens Coverage For More Than 1.1 Million Pennsylvanians

May 04, 2017

News Release:  Today, the U.S. House of Representatives approved the American Health Care Act (AHCA), a measure to repeal and replace the Affordable Care Act (ACA).

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HAP Says Key Hospital Report Underscores Need for Access to Affordable Health Care in Pennsylvania

April 26, 2017

News Release:  The Pennsylvania Health Care Cost Containment Council (PHC4) today made public its financial analysis report for fiscal year (FY) 2016. The PHC4 report highlights the complexities of Pennsylvania’s health care landscape. 

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CMS Releases Proposed FY 2018 Medicare Payment Policies and Rates

April 17, 2017

The Centers for Medicare & Medicaid Services (CMS) released the proposed fiscal year (FY) 2018 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System.

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Quality Assurance Group Makes Changes to Evaluation of Patient-Centered Medical Home Program

April 11, 2017

The National Committee for Quality Assurance introduced changes to its Patient-Centered Medical Home Recognition program to increase provider flexibility and move to an annual check-in process.

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CMS to Test Clinical-Community Collaboration to Assist Patients, Align Services

April 06, 2017

In an effort to support local communities in addressing the health-related social needs of Medicare and Medicaid beneficiaries, the Centers for Medicare & Medicaid Services (CMS) will provide support to 32 organizations—including Pennsylvania’s Reading Hospital—working to bridge the gap between clinical and community services.

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Survey Finds Small Physician Groups Need Help with MACRA Implementation

April 05, 2017

A new survey commissioned by Healthcare Informatics shows that, despite the slower pacing of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), many small physician groups are not fully prepared for its implementation during 2017.

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NAM Report: Policy Priorities for Better Health with Lower Per-Capita Spending

March 27, 2017

The National Academy of Medicine’s (NAM) Vital Directions for Health and Health Care Initiative  released its final report outlining top policy priorities for improving Americans’ health while reducing what we spend per-capita on health care. The report summarizes 19 papers and a national symposium that examined the issue over the past 18 months.

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CMS Delays New Bundled Payments, Again

March 21, 2017

The Centers for Medicare & Medicaid Services (CMS) posted notice of its intent to further delay the implementation of new cardiac bundled payment models and the expansion of the existing joint replacement bundle until May 20, 2017. This delay comes after an initial postponement from January 21 to March 21, 2017, as a result of the 60-day regulatory freeze by the Trump Administration.

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