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CMS Final Rule: Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare Cost Plan and Programs of All-Inclusive Care for the Elderly (PACE)

Briggs Healthcare

This final rule will also codify regulations implementing section 118 of Division CC of the Consolidated Appropriations Act, 2021, section 11404 of the Inflation Reduction Act, and includes provisions that will codify existing sub-regulatory guidance in the Part C, Part D, and PACE programs.

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‘We Will Be Paying For This For Years’: 8 Home Health C-Suite Leaders Sound Off On ‘Alarming’ Medicare Cuts

Home Health Care

Centers for Medicare & Medicaid Services (CMS) published its home health proposed payment rule for 2024. CMS’ proposal to increase oversight and regulation specific to home health and hospice M&A activity will likely have impacts on the M&A landscape in 2024 and beyond. At the end of last month, the U.S.

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What are CY 2024 Policy Updates For MIPS Reporting? (Part II)

p3care

Overall, the new MIPS inventory has 106 improvement activities that have not been finalized yet. The title for this new IA is ‘“Practice-Wide Quality Improvement in MVPs’. Meanwhile, CMS has permanently removed 3 improvement activities, whereas 1 got a modification. CMS has a strategic reason behind this modification.

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What HHVBP Means for Managed Care, SNF Utilization

Home Health Care

Medicare Advantage [plans] can see all of that information.”. Yet with roughly seven-and-a-half months to go, more questions about HHVBP’s broader impact on quality of care and patient access are starting to pop up. “If we do well under HHVBP, that should help prove the value of home health care,” one executive recently told me.

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Unlocking Value-Based Care: How AI Can Overcome Key Challenges

HIT Consultant

The Centers for Medicare and Medicaid Services (CMS) has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030, a notable increase from the mere 7% recorded in 2021 by Bain Research. Jay Ackerman, CEO, Reveleer The momentum of value-based care (VBC) is poised to accelerate.

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CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors

Sheppard Health Law

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.

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MIPS 2022 Measures for the Certified Nurse Midwife Category

p3care

MIPS (Merit-based Incentive Payment System) was launched by the Quality Payment Program (QPP) for the Medicare Part B healthcare providers. There are four categories in this category of QPP reporting , which are: Quality. Improvements Activities. Categories. Promoting Interoperability.

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