MACRA Law is a complex rule. MACRA healthcare affects how a patient receives care and how a doctor is paid by medicare.
Established in 2007, the Center for Health Policy at Brookings is dedicated to providing practical solutions that achieve high-quality, innovative, and affordable health care throughout the United Sta
The official blog for the Centers for Medicare & Medicaid Services (CMS) - visit www.cms.gov
Congress hasn't funded CHIP yet. What is happening is that Republicans won't pass a clean CHIP funding bill. They are using it as a bargaining chip in terms of striking a deal on the 2018 budget.
It has been a few months since we reported on Federal Court wranglings with the Biologics Price Competition and Innovation Act, or BPCIA, which created the nation’s abbreviated marketing pathway for
Rules for clinical research are undergoing major changes in both the United States and the European Union. In the United States, the 21st Century Cures Act, which was signed into law on December 13, 2
I previously said that the year 2014 may be a game-changer for the 340B Drug Discount Program. Increasing HRSA audits, a lawsuit over the 340B Orphan Drug Rule, and HRSA’s promise to issue a 340B me
Congress has four days to fund the government. The emerging spending deal could include any number of legislative priorities. We wait and see for signs that a spending deal is close before we start en
The Trump administration will start to allow states to implement work requirements for Medicaid. These would require able-bodied adults to work or participate in “community engagement activities”
On January 11, 2018, CMS released a Letter to Medicaid Directors outlining guidance that work requirements can be used as a basis for eligibility for certain adult Medicaid beneficiaries through 1115
On January 9th, the Senate Committee on Finance conducted its nomination hearing of Alex Michael Azar II, President Trump’s nominee for Secretary of Health and Human Services. Under President George
The Department of Health and Human Services Office of the Inspector General (OIG) has issued an Advisory Opinion (Opinion) in connection with a hospital’s gainsharing arrangement (Arrangement) with
This week, Congress returns to D.C. with 11 days to pass a government funding bill that may touch on issues such as CHIP, the minibus, DACA, and disaster relief. How this all comes together by January
The Trump administration made some rule changes last year, most of those start kicking in for 2018. These include the mandate being repealed the expansion of association and short term health plans.
In both civil and criminal enforcement proceedings, 2017 was perhaps most notable for the cases brought against individual health care providers and small physician practice owners. Among the factor
We at ObamaCareFacts.com have been writing about the ACA since 2012. A lot has changed since then. Given all the changes we are in the process of updating our site.
President Trump declared that ObamaCare was repealed, but in reality the GOP tax bill simply repealed the mandate for individuals to get coverage.
Open enrollment won’t be extended this year for the federal marketplaces, however, some states have extended their deadlines, and there are exemptions for victims of Harvey. See extensions and exemp
Here is a list of things you can do if you missed the Dec. 15 deadline for ObamaCare's open enrollment 2018 in the health insurance marketplace.
Are There Any Open Enrollment Extensions? Many people were unable to get through to the Marketplace Call Center before open enrollment ended, but there is a short grace period. Don’t give up yet. Tr
Being 26: Do You Need Health Insurance? In the last 26 years, the cost of the hospital healthcare and doctor visits have jumped about 3.5 times while drug costs have increased almost 7 times. A person
Here are 7 last minute tips for open enrollment 2018. These should help answer any last minute questions.
MACRA’S QUALITY PAYMENT PROGRAM HAS GONE LIVE – ACTION REQUIRED IN 2017 TO AVOID PART B PAYMENT REDUCTIONS IN 2019 – QPP BASICS TO KNOW IN GETTING STARTED A new Congress has convened, a new admi
Medicare/Medicaid Reform and ACA Repeal on the Horizon, MACRA Moves Forward for Now The new administration’s agenda for health care may have come into clearer focus with President-Elect Donald Trump
QRUR Informal Review Also Available. Physicians and other eligible professionals and practices who failed to meet criteria for satisfactory PQRS reporting in calendar year (CY) 2015 now face a negativ
On October 14, 2016, the Centers for Medicare & Medicaid Services (CMS) released its final rule implementing the new Quality Payment Program for physicians in lieu of the repealed sustainable grow
Physicians subject to the Rule must meet notice and posting obligations by October 16, 2016. The federal Department of Health and Human Services (HHS), through its Office for Civil Rights (OCR), has p
CMS proposed rule details Medicare’s new physician “Quality Payment Program” Reporting under new measures slated to begin in 2017 The Centers for Medicare & Medicaid Services (CMS), the fede
2016 Amendments Permit Disclosure for Care Coordination Only Under State Law One of the more challenging aspects of medical records management are federal and state legalities around release of substa
HIPAA AND FEES FOR MEDICAL RECORDS – Updated OCR guidance sets limits. Physicians and other HIPAA covered entity providers are familiar with HIPAA’s rule on fees that may be charged when individua
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