HHS Report Finds Medicare Advantage Patients Disadvantaged

The New York Times reported this week that Medicare Advantage plans “have been improperly denying many medical claims to patients and physicians alike.” A report by the US Department of Health and Human Services claims the denials are an attempt to increase profits....

CMS MIPS Field Testing Commences

The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will conduct field testing in October 2018 for 13 cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment...

CMS Field Testing Elective Primary Hip Arthroplasty MIPS Cost Measure

Starting in October of 2018, CMS will conduct field testing of cost measures including one for elective primary hip arthroplasty. The measures could be used in Medicare’s Merit-based Incentive Payment System (MIPS) starting in 2020. The hip measure was developed with...