Public Policy
Public Policy
Who makes the rules? CMS and IPPS
The IPPS final rule excluded the proposed broad changes to the MS-DRG system that were in the proposed rule.
From the Society
Flying toward equity and inclusion
A heterogeneous group of people leads to an engaged and high performing culture.
Practice Management
Observation versus inpatient status
Observation care is increasing, and can frustrate patients and hospitalists.
News
Critics say hospital price transparency proposal ‘misses the mark’
The proposal from CMS would require hospitals to make public both their list prices and the prices they negotiate with payers.
News
CMS plans to give MIPS an overhaul
CMS Administrator Seema Verma said the changes are designed to make measures more relevant and reporting less burdensome. The changes received a...
News
CMS proposes improved E/M payments, additional price transparency for hospitals
The Medicare Outpatient Prospective Payment System proposed rule for the 2020 annual update would require hospitals to publish the negotiated...
News
MIPS: Nearly all eligible clinicians got a bonus for 2018
Exceeding the performance threshold resulted in a bonus to fee schedule payments in 2018.
News
MedPAC to Congress: End “incident-to” billing
Access to care should not be affected by paying nurse practitioners and physician assistants 85% of the physician fee every time.
News
Medicare may best Medicare Advantage at reducing readmissions
Editorialists provide reasons to exercise caution when interpreting the results.
News
Benefits of Medicare Shared Savings Program ACOs lacking
When employing an instrumental variable model, there was not an association with changes in total spending per beneficiary per quarter.