Bruce Arnold on Centers for Medicare & Medicaid Services (CMS)

Price Transparency In Health Care . . . Panacea Or Not

Time is running short on the opportunity to comment on a proposed rule further increasing transparency in hospital pricing. The rule was released July 29 and was quickly panned by providers and insurers over provisions...more

9/10/2019 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Health Insurance , Proposed Rules

Physician Quality Measures—Growing Numbers Of Them, But Are They Being Used?

For decades, pundits, policymakers and consumer groups have called for better tools to make health care purchasing decisions easier. Greater cost transparency and clear indicators of quality, they say, would help consumers...more

3/12/2019 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Physicians

Hospitals React Strongly To CMS’ Changes To Hospital Outpatient Payments

Hospitals are not happy with CMS’ recent changes to hospital outpatient payments. Two hospital associations and three hospitals claim in a federal lawsuit filed December 4, 2018, that CMS had no authority to change the...more

1/24/2019 / Centers for Medicare & Medicaid Services (CMS) , HCPCS , Health Care Providers , Hospitals , Outpatient Prospective Payment System (OPPS)

The “Pathways To Success” Final Rule Is Here: ACO’s Face Big Decisions

This is the third article in our series on the new “Pathways” rules for Accountable Care Organizations. The Centers for Medicare and Medicaid Services (CMS) issued its anticipated final rule revising the Medicare Shared...more

1/14/2019 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program

CMS Issues Proposed Rule Addressing Payment Error In Medicare Advantage, Expects To Recover $4.5 Billion Over 10 Years

A new rule proposed by the Centers for Medicare and Medicaid Services (CMS) on October 26, 2018, would revise the way the agency validates the risk adjustment data and collects repayments from Medicare Advantage (MA)...more

12/4/2018 / Centers for Medicare & Medicaid Services (CMS) , Fee-for-Service , Health Care Providers , Medicare , Medicare Advantage , Medicare Part A , Medicare Part B , Proposed Rules

Open Enrollment Update: CMS Releases Benefit And Market Data

Anticipating open enrollment season for coverage in 2019, the Centers for Medicare and Medicaid Services (CMS) released coverage and premium information that will factor into consumer decisions about Medicare and individual...more

11/1/2018 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Advantage , Medicare Part A , Medicare Part B , Medicare Part D , Open Enrollment

Court Decision On Overpayment Rule Leaves Uncertain Future For Medicare Payment Methodology And Pending Justice Department...

A federal court decision to vacate regulations concerning “overpayments” to Medicare Advantage plans has left open questions about the way the government pays the insurers and pending cases brought by the U.S. Department of...more

10/2/2018 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Advantage , Overpayment

Performance Report: “Pathways” Rules Help CMS Advance Two-Sided Risk Sharing

This is the second article in our series on the new “Pathways” rules for Accountable Care Organizations. The Centers for Medicare and Medicaid Services (CMS) released a report on August 27, 2018, showing Next Generation...more

9/20/2018 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program , Physicians

Bruce Arnold

Husch Blackwell LLP

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