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CMS
CMS Penalizes 774 Hospitals for High Patient Infection Rates
In early 2021, the Centers for Medicare and Medicaid Services (CMS) penalized 774 hospitals for having high rates of patient…
Next Generation ACO Program Saves Medicare More than $500 Million in 2019
Recent data shows the Next Generation Accountable Care Organization program saved Medicare $559 million in 2019. This data comes…
Prior Authorization Rule Withdrawn?
The Biden administration appears to have withdrawn a final rule aimed at streamlining prior authorization. The rule had required…
Guidehouse Analyzes Data for Compliance with Price Transparency Rule
The consulting firm Guidehouse recently performed an analysis on compliance data for more than 1,000 health care providers across…
CMS Audits Hospitals for Compliance with Transparency Measures
The United States Centers for Medicare and Medicaid Services (CMS) has started to audit a sample of hospitals to ensure compliance…
CMS Should Improve Wage Index Adjustment for Rural Hospitals
On December 30, 2020, the United States Department of Health and Human Services Office of Inspector General (HHS OIG) released a…
CMS Prior Authorization Proposed Rule Faces Backlash, Support
In mid-December 2020, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule to address prior…
CMS Announces New Voluntary Payment Model
Toward the end of last year, the United States Centers for Medicare and Medicaid Services (CMS) announced a new voluntary payment…
Trump Administration Makes Final Proposed Rule Push
Two proposed rules from the last few weeks of the Trump administration may be of note to some of our readers. The first addresses…
CMS Updates Guidance on Sunshine Act Reporting Thresholds for 2021
At the end of 2020, the Centers for Medicare and Medicaid Services (CMS) issued updated guidance on the thresholds that require an…