Building on the momentum of early October hearings on the state’s growing health care expenditures, the Health Policy Commission (HPC), the Joint Committee on Health Care Financing, Governor Charlie Baker, and others spent...more
10/26/2015
/ Alternative Payment Models (APM) ,
Competition ,
Controlled Substances ,
Drug Pricing ,
Governor Baker ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Costs ,
Healthcare Fraud ,
Hospitals ,
Innovation ,
Licenses ,
Medicaid ,
Nurse Practitioners ,
Pain Management ,
Pending Legislation ,
Performance Improvement Plans ,
Physicians ,
Public Health ,
Rebuttable Presumptions ,
Reimbursements ,
Substance Abuse ,
Telehealth ,
Telemedicine ,
Transparency ,
Value-Based Payments
For some health care providers, a pair of recent announcements made by the Obama Administration to implement mandatory alternative payment models (APMs) for home health value-based purchasing and bundled payments for hip and...more
7/15/2015
/ Affordable Care Act ,
Alternative Payment Models (APM) ,
Beneficiaries ,
BPCI ,
Centers for Medicare & Medicaid Services (CMS) ,
CMMI ,
Comment Period ,
Fee-for-Service ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Home Health Agencies ,
Home Health Care ,
Hospitals ,
Medicaid ,
Medicare ,
Medicare Part A ,
Medicare Part B ,
OASIS ,
Obama Administration ,
Physicians ,
Value-Based Purchasing
On September 16, 2014, the Centers for Medicare & Medicaid Services (CMS) announced key shared savings and losses results of Accountable Care Organizations (ACOs) that began participating in the Medicare Shared Savings...more
On July 22, 2014, two federal appellate courts issued conflicting decisions, within hours of each other, regarding the IRS final rule published on May 23, 2012 (the “IRS Rule”), intended to implement the exchange-related tax...more
What is the SGR?
The Sustainable Growth Rate (SGR) formula was enacted in 1992 as a statutory means of controlling Medicare spending by calculating annual updates to the Medicare physician fee schedule. The fee...more
As was widely expected over the month of December, the Obama Administration and Congress scrambled in the late hours of 2012 and on New Year’s Day devising a legislative package to prevent the United States from going over...more