CMS

Meeting the ‘status quo’ with CMS Star Ratings equals regressionCMS’ 5-Star Rating system requires proactive intervention to improve patient medication adherence, and leaves plans with little room to rest on their laurels.
Many hospitals not sharing e-patient dataWhy researchers say the industry is “a long way off” from robust electronic patient data sharing.
Five key findings from health executive value-based care surveyA survey from HealthScape Advisors and the Health Plan Alliance has revealing findings about value-based payment models.
Five rules for payer success in oncologyPayers must reinvent efforts to reduce cancer cost and increase quality for a value-based care world. Here’s five rules to follow.
CMS quality payment program year 2 proposal: 8 things to knowCMS’ Quality Payment Program launched in 2016 as part of MACRA. Here’s what’s in store for Year 2.
CMS pay-for-performance measures flawed
CMS pay-for-performance measures flawedThis problem represents yet one more example of CMS’ ill-advised attempts to dictate what transpires in the course of the doctor-patient encounter.
Oral specialty drug options on the horizon
Oral specialty drug options on the horizonAs more specialty drugs are approved, cost control strategies are key.
Bundled payments on ‘pause,’ but not for longPolitical uncertainty plagues new payment arrangement, but private payers embrace new model.
QPP implementation: CMS has begun to listenWhile CMS has demonstrated an ability to listen to providers’ concerns about QPP implementation, many issues still need to be addressed and urologists must continue to be vocal.
CMS grants reimbursement cods to RCMThe Centers for Medicare and Medicaid Services (CMS) has granted reimbursement codes to reflectance confocal microscopy (RCM), a noninvasive tool for identifying benign lesions, which can spare patients from needing biopsies, as well as detect malignant lesions.