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Cigna reports special enrollment period led to bump in medical claims, still posts $1.6B profit

Health Care Dive

Analysts characterized the third quarter results as mixed, even as the payer hiked its forecast for the remainder of the year.

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MIPS 2023 Participation Status: Do I Have To Report?

p3care

CMS has recently updated the eligibility status for MIPS 2023 reporting. And as the submission window is open for MIPS reporting, it’s high time to check your participation status. Also, it will be helpful for them to determine their reporting requirements. The post MIPS 2023 Participation Status: Do I Have To Report?

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The Special Inspector General for Pandemic Recovery Calls For Increased Funding and Expanded Jurisdiction In Its Quarterly Report To Congress

Sheppard Health Law

On July 30, 2021, the Special Inspector General for Pandemic Recovery (“SIGPR”), Brian D. Miller, submitted his quarterly report to Congress. The report highlighted a number of developments with the SIGPR. SIGPR also created a voluntary Self-Disclosure website for recipients of federal stimulus to report fraud, waste, and abuse.

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All About MIPS 2021 Eligibility, Participation, and Special Status

p3care

Providers who are participating in an APM are exempt from MIPS 2021 reporting. Participants and Reporting Types. All of them have to perform the activities for the allotted period and submit their reports. They cannot choose to report some as an individual and others as part of a group. Individuals Reporting.

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

Children and youth with special health care needs (CYSHCN) require services beyond those needed by children generally, yet they often face difficulties accessing high-quality health care. percent of families with CYSHCN report frustrations in accessing services. Of the over 15 million CYSHCN in the U.S., hours per family per week.

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What are Significant Requirements to become a QCDR in MIPS reporting?

p3care

The MIPS program met with a valuable reporting tool known as QCDR in its quest for relatively accurate reporting. The Qualified Clinical Data Registry (QCDR) acts as a collection type for reporting MIPS quality measures. Mainly, these are the CMS-approved entities that collect and report clinical data from myriad resources.

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What are the MIPS 2024 Final Scoring Policy Updates? (Part III)

p3care

MIPS reporting rules and policies may vary from one reporting option to another. The PFS final rule for MIPS 2024 addresses the changes for all three reporting options briefly. If you’re a new reader, check out our blogs Part I and Part II on the MIPS 2024 reporting policy revisions. What is MIPS Final Scores?