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Changes to MIPS in New Budget Deal

February 13, 2018

Late last week, the U.S. Congress passed the Bipartisan Budget Act of 2018 that ended a brief federal government shutdown. Included in the legislation are modifications to the Merit-Based Incentive Payment System (MIPS) that will affect physician payments.

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Report Says Out-of-Pocket Costs for Medicare Beneficiaries Will Keep Growing

February 01, 2018

At a time when the aging population is on the rise in Pennsylvania, a Kaiser Family Foundation report estimates that out-of-pocket costs for Medicare beneficiaries are expected to keep rising over the next decade.

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11 new Medicare ACOs in Pennsylvania in 2018

January 12, 2018

The Centers for Medicare & Medicaid Services (CMS) recently released the 2018 list of accountable care organizations (ACOs) approved for the Medicare Shared Savings Program (MSSP). Among the 561 approved ACOs, 39 provide care to Medicare beneficiaries in Pennsylvania—a jump of 11 ACOs, up from 29 during 2017. 

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CMS Launches New Voluntary Bundled-payment Model

January 10, 2018

The Center for Medicare and Medicaid Innovation, part of The Centers for Medicare & Medicaid Services (CMS), announced the first advanced alternative payment model under the Trump administration.

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New Data Submission System for Clinicians in the Quality Payment Program

January 03, 2018

Yesterday, the Centers for Medicare & Medicaid Services (CMS) announced a new data submission system for clinicians in the Quality Payment Program (QPP) aimed at easing the reporting burden of the program. HAP is supportive of efforts to streamline reporting.

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New Physician Quality Information Available at Physician Compare; HAP’s Care in PA also Helpful

December 18, 2017

The Centers for Medicare & Medicaid Services (CMS) has added new quality information to its Physician Compare website to help consumers make better health care decisions.

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CMS Cancels Two Mandatory Bundled Payment Models

December 01, 2017

The Centers for Medicare & Medicaid Services (CMS) finalized its decision to cancel two mandatory bundled-payment models and reduce the number of providers required to participate in a third model.

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Report Finds Drop in Uncompensated Care, Outpatient Growth for PA’s Non-Acute and Specialty Hospitals

October 31, 2017

Today, the Pennsylvania Health Care Cost Containment Council (PHC4) released its Annual Report on the Financial Health of Pennsylvania Non-General Acute Care Hospitals, finding that uncompensated care saw a decrease of 17 percent or $3.3 million in fiscal year 2016. Specialty hospitals saw the largest percent point decrease, followed by psychiatric and long-term acute care

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U.S. Senate Approves Bipartisan Plan to Improve Care for Seniors with Chronic Conditions

September 27, 2017

The U.S. Senate unanimously approved bipartisan legislation that will improve health outcomes for Medicare beneficiaries living with chronic conditions and also will lower costs.

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CMS Announces Major Changes to Bundled Programs

August 17, 2017

This week the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would significantly reduce mandatory bundled programs. 

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Employers Plan to Adopt Consumer-Focused Strategies to Reduce Health Care Costs

August 10, 2017

Two health care employer surveys released recently reveal that, faced with a five to 5.5 percent increase in health care benefit costs in 2018, United States employers plan to adopt new strategies to manage costs.

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Shift to Value-Based Payment Still Strong Under New Administration

July 05, 2017

The Centers for Medicare & Medicaid Services Center for Clinical Standards and Quality Director, Kate Goodrich, said that value-based payment programs are likely to continue under the new administration during an accountable care organization event in Virginia last week.

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Start of Joint Replacement Model and 340B Final Rule Delayed

May 19, 2017

This week, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that further delays to January 1 the start date for its Cardiac and Comprehensive Care for Joint Replacement Bundled Payment Model. In addition, Health Resources and Services Administration (HRSA) delayed to October 1 the effective date of its final rule on 340B drug ceiling prices and civil monetary penalties for manufacturers.

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HAP: AHCA Vote Threatens Coverage For More Than 1.1 Million Pennsylvanians

May 04, 2017

News Release:  Today, the U.S. House of Representatives approved the American Health Care Act (AHCA), a measure to repeal and replace the Affordable Care Act (ACA).

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HAP Says Key Hospital Report Underscores Need for Access to Affordable Health Care in Pennsylvania

April 26, 2017

News Release:  The Pennsylvania Health Care Cost Containment Council (PHC4) today made public its financial analysis report for fiscal year (FY) 2016. The PHC4 report highlights the complexities of Pennsylvania’s health care landscape. 

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