Connecture is the leading provider of Web-based information systems used to create health insurance marketplaces and exchanges. Its industry-proven solutions enable consumers, employers and brokers to more easily shop for, purchase and renew health insurance while minimizing back-office administrative expenses for health plans. Connecture’s solutions are provided to health plans, state insurance exchanges, private exchanges and insurance brokers. More than 25 million Americans shop for their health insurance through systems built by Connecture, and more than half of the nation’s 20 largest plans rely on them to sell, administer and manage their plans and products effectively. For more information, visit www.connecture.com.
Video: Medicare Benefits Made Clear: News, Reform & Obamacare Exposed!
Medicare Clawbacks Extended To 5 Years: What You Can Do About It
3. Incentives and Rebates: Multiple incentives and rebates for medical providers are available for implementing Meaningful Use requirements, Electronic Medical Record opportunities, and Physician Quality Reporting System reporting. Most of these CMS programs started as incentives, and turn into penalties if providers do not adhere to the guidelines within strict time limits. The PQRS bonus turns into a retroactive penalty if providers do not file in 2013, for example. Providers can partner with individual providers or with a complete medical distributor to help guide them through these processes, which will help them to increase revenues up front through the rebates and incentives available, and will also help to avoid penalties when CMS moves forward through their implementation plan. Furthermore, many of these incentives can help improve efficiencies and reduce expenses for physicians through improved workflow processes. For example, the PQRS reporting system used to take enormous resources (either in monetary or FTE terms) through its cumbersome, complicated and imposing volume of reporting requirements. The new registry-based reporting requires only 30 patients instead of 80% of all Medicare patients in the practice, dramatically expands the selection of disease states to report on, covers just about ANY medical practitioner, and only takes about 30 minutes.
Drug and Device Law: When Did This Happen?
We first got wind of this when the decision, Michigan Spine & Brain Surgeons, PLLC, , v. State Farm Mutual Automobile Insurance Co., 2013 U.S. Dist. Lexis 17721 (E.D. Mich. Feb. 11, 2013), showed up, more or less by accident, in one of the ongoing searches we use to stay abreast of drug/device developments, Apparently, however, the more important decision was over a year ago in Bio-Medical Applications, Inc. v. Central States Health & Welfare Fund, 656 F.3d 277 (6th Cir. 2011).
Bundled payments, DMEPOS, regulatory reform, and ESRD
We also announced a major expansion of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. In its first year of operation, competitive bidding, where prices are based on suppliers’ bids, saved the Medicare program, and taxpayers, over $202 million, while maintaining access to quality products for Medicare beneficiaries in the nine areas of the country where the program launched. It’s a great example of the Administration’s determination to put the brakes on runaway healthcare costs. With this expansion in the program, Medicare beneficiaries in 91 major metropolitan areas will save an average of 45 percent on certain DMEPOS items beginning in July. Between 2013 and 2022, we estimate that the expansion of the DMEPOS program will save Medicare $25.7 billion, while saving beneficiaries, who pay a percentage for medical equipment and supplies, $17.1 billion through lower prices.
CMS angling to ease providers’ burdens from Medicare Administrative Contractors
CMS has called for provider contact information so the agency can survey a random sample of long-term care operators. This will help the agency determine just how satisfied providers are with the recently instituted Medicare Administrative Contractors (MACs). The Social Security Act names provider satisfaction as a MAC performance standard.
What’s New With Medicare?
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Health Care Authority Prepares Website to Answer Medicaid Providers’ Questions About Rate Increases
FOR MORE INFORMATION ON HEALTH CARE REFORM OR BACKGROUND: The Medicaid Expansion 2014 website: www.hca.wa.gov/hcr/me The Health Benefits Exchange website: www.hca.wa.gov/hcr/exchange The Provider Rates Change website: www.hca.wa.gov/acarates Provider questions about the rate increase can be emailed to email@example.com Jim Stevenson, Communications, HCA 360-725-1915 firstname.lastname@example.org
Settlement Agreement in the Medicare Improvement Standard case
The official approval of the settlement means the Centers for Medicare and Medicaid Services (CMS) must develop and implement an education campaign to ensure that Medicare providers are not denying coverage for vital maintenance services to those with any chronic illness who meet other qualifying Medicare requirements. These illnesses include, but are not limited to, Parkinson’s disease, Alzheimer’s or other dementia, strokes, heart disease, multiple sclerosis, diabetes or paralysis.