On December 7, 2018, the Centers for Medicare and Medicaid Services (CMS) released a new final rule on the risk adjustment methodology for the 2018 plan year. The final rule made no changes from the ...

We examine these key findings below in more detail and then briefly discuss policy implications for the MSSP, as well as for the broader landscape of accountable care and value-based models involving ...

The Centers for Medicare & Medicaid Services (CMS) finalized its risk adjustment rule for the 2018 benefit year on Friday, its latest step in a string of legal battles dating back to earlier this year ...

The average Medicare Advantage monthly premium will decrease by $1.91, or about 6 percent in 2018, from an average of $31.91 in 2017 to $30, according to the Centers for Medicare and Medicaid Services ...

Retirees are paying more for their healthcare than ever before, and that makes knowing the costs associated with Medicare's monthly premiums critical to retirement planning. Will these costs break ...

Providers who fail to meet the standards of the Physician Quality Reporting System in 2016 will get a pass from CMS in 2017 and 2018, the agency has announced. CMS said it will not penalize providers ...

Tucked Centers for Medicare and Medicaid Services (CMS) recently published the final Medicare Physician Fee Schedule for 2018. In a statement, the California Medical Association (CMA) announced that ...

SUMMARY: This final rule will update the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2018. Additionally, this rule includes new quality measures and provides an update on ...

Last week CMS issued its anticipated proposed rule to implement the Supreme Court’s decision last year which ruled that CMS’ reduction in Medicare payments for Part B outpatient drugs purchased ...

Healthcare spending increased 4.6% in 2019 to $3.8 trillion as the suspension of the health insurance tax helped offset faster growth in hospital, physician and clinical service spending. The Centers ...

CMS said Friday that it issued a final rule about insurer risk-adjustment payments for 2018, saying it wanted to provide consistency while the outcome of a court case about the issue is still in play.