eAlerts

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MiraMed’s eAlerts are distributed via email every Wednesday, and contains the latest industry information regarding business process outsourcing solutions, helpful coding news, or any number of relevant topics in the fast-paced, ever-evolving world of healthcare. To subscribe, simply complete the form below. Below the subscription form, you will find the archived eAlerts available.

April 19, 2017

On April 14, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would update 2018 Medicare inpatient payment and polices.  The proposed rule aims to relieve regulatory burdens for providers; supports the patient-doctor relationship in healthcare; and promotes transparency, flexibility and innovation in the delivery of care.  The proposed rule would apply to about 3,330 acute care hospitals and 420 long-term care hospitals, and would affect discharges occurring on or after October 1, 2017.  The rule will be published in the Federal Register April 28, and comments will be accepted through June 13.

Read more: CMS Aims to Simplify with Proposed Inpatient Payment Rule

April 5, 2017

The Medicare Access & Chip Reauthorization Act of 2015 (MACRA) marked the end of Medicare payment’s fee-for-service model and the beginning of a performance-based payment system, the Quality Payment Program (QPP).  Understanding how participation in the QPP will impact payments begins with understanding the scoring system.

Read more: The MACRA MIPS Composite Score: A Guide for Providers

March 29, 2017

As noted in our eAlert issued March 16, 2016, bundled payments have long been a part of the healthcare reform debate as a strategy for reducing healthcare costs, but while there has been significant discussion and research relating to alternative payment methods, most healthcare spending is still based on a fee-for-service framework.  Despite recent efforts to measure and provide financial incentives for quality, this system rewards volume, rather than value, for the most part, creating a system where patients and families struggle to navigate across fragmented care silos, and providers must work to maximize utilization to survive.

Read more: CMS Delays Bundled Payment Programs

March 22, 2017

The House proposal to “repeal and replace” the Affordable Care Act (ACA), the landmark and controversial legislation that is a signature of President Barack Obama’s administration, indicates that the nation’s healthcare system could be heading for yet another upheaval.  March 21, 2017 marked the seventh anniversary of the ACA.  Although there is still a high degree of uncertainty regarding what the final repeal-and-replace legislation will look like, or when it will appear, any changes to the ACA will have important implications for hospitals, health systems, healthcare professionals and patients.

Read more: An Overview of the American Health Care Act

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