Tag Archives: CMS

The RUC Is Bad Medicine: It Has To Go

Brian Klepper Posted 8/12/13 on Medscape Business of Medicine “One of the biggest mistakes we made … is that we took the RUC … back in 1992 and gave it to the AMA. … It’s incredibly political, and it’s just … Continue reading

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , , , , , , , , , , , , , , , , , , , | 2 Comments

Will Anyone Listen When Former CMS Chiefs Call For More Objective Physician Payment?

Brian Klepper Posted 7/7/12 on Medscape Connect’s Care & Cost On May 10th, the US Senate Finance Committee, co-chaired by Senators Max Baucus (D-Mont) and Orrin Hatch (R-Utah), convened a remarkable panel of four former Administrators of the Health Care Finance Administration … Continue reading

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Posted in Brian Klepper, Conflicts of Interest, Health Care Cost, Politics, Quality | Tagged , , , , , , , | Leave a comment

Nothing About Me Without Me: Participatory Medicine, Meaningful Use and the American Hospital Association

David Harlow Posted 5/6/12 on Health Blawg Meaningful Use Stage 2 regulations were released in March by CMS and ONC.  Over the past month or so, I’ve been working with other members of the Society for Participatory Medicine (thank you, … Continue reading

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Posted in Consumerism, Health IT, Innovation, Market Dynamics, Policy/Law/Regulation, Politics, Quality | Tagged , , , , , | Leave a comment

Great News! Medicare Tightening Up At Last

Tom Emerick Posted 4/3/12 on Cracking Health Costs Good news on the Medicare front.  In a few states (FL, CA, MI, TX, NY, LA, IL) they are at last tightening up on unnecessary surgical procedures, according to a news story in Forbes.  Hurray! According … Continue reading

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Posted in Analytics, Conflicts of Interest, Health Care Cost, Innovation, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | 1 Comment

ICD-10 To Be Delayed Indefinitely – Never Mind!

Robert Laszewski Posted 2/14/12 on Health Policy and Marketplace Review After years of telling us they are serious this time and everyone in the health care system had better be ready on time to implement the new disease coding system, … Continue reading

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Posted in Analytics, Health Care Cost, Innovation, Physicians, Policy/Law/Regulation, Politics, Quality, Reform, Tools | Tagged , , , | 1 Comment

Tracking Adverse Events

Paul Levy Posted 1/08/12 on Not Running a Hospital A recent report from the Office of Inspector General at the US Department of Health and Human Services finds, unsurprisingly, that hospital incident reporting systems do not capture most patient harm.  A summary … Continue reading

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Posted in Analytics, Health IT, Innovation, Medical Management, Physicians, Policy/Law/Regulation, Quality, Tools | Tagged , , , , | Leave a comment

The Centers for Medicare and Medicaid Services’ Quiet Coziness with Wall Street

Roy M. Poses, MD Posted 12/09/11 on Health Care Renewal An article from the Project on Government Oversight (POGO) reveals a new aspect of the growing coziness between the US government and big corporations with obvious relevance to health care. CMS’ Coziness … Continue reading

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Posted in Analytics, Market Dynamics, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | 1 Comment

Accountable Care Organization Regulations – The ACO is a Camel, Not a Unicorn

David Harlow Posted 10/31/11 on HealthBlawg The final Accountable Care Organization regulations are out, the initial flurry of commentary is out (including my own ACO webinar with simultaneous  #ACOchat tweetchat -available for download/replay soon; slides here now: “ACOs, Bundled Payments and the Future of Health Care“), … Continue reading

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Posted in Innovation, Policy/Law/Regulation, Quality, Tools | Tagged , , , , | 2 Comments

ACOs: The Good and the Bad

To muted applause and some sighs of relief from providers, HHS released the final ACO regulations last week.  The final version superseded the much-criticized draft regs published several weeks earlier. This previous draft was widely regarded as imposing overwhelmingly complex … Continue reading

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Posted in Analytics, Benefits, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , | Leave a comment

Anti-RUC Suit Challenges Process for Setting Doc Pay Scales

Merrill Goozner Posted 10/25/11 on Gooz News  Whither CMS? That’s the issue raised by Brian Klepper and David Kibbe in their post on the Health Affairs website this morning. The Center for Medicare and Medicaid Services faces a November deadline for answering a … Continue reading

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Posted in Analytics, Brian Klepper, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , | Leave a comment

CMS’ Opportunity: A Lawsuit Offers A Chance To Reform Physician Payment

Brian Klepper and David C. Kibbe Posted 10/25/11 on the Health Affairs Blog By mid-November, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) must respond to the legal complaint filed in a Maryland … Continue reading

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Posted in Analytics, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , , , , , , , | Leave a comment

CMS Wants Docs To Ante Up To CMS Poker Game

Michael Millenson Posted 10/20/11 on Forbes In a high-stakes political, clinical and economic poker game that goes by the name of Accountable Care Organizations (ACOs), the Centers for Medicare & Medicaid Services (CMS) has just issued a call for doctors and hospitals to grab some … Continue reading

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Posted in Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , | Leave a comment

Accelerating Innovation At The Centers For Medicare And Medicaid Services

Donald Berwick and Richard Gilfillan Posted 10/21/11 on The Health Affairs Blog Copyright ©2011 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc.  Innovation has revolutionized medicine.  Technology enables us to peer into the depths of the human body to … Continue reading

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Posted in Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , | Leave a comment

The Math of E/M Coding: When Does 5=1?

Paul M. Fischer My typical Medicare patient expects me to deal with 5 or more problems in a single routine visit.  There are usually around 3 old ones (e.g., diabetes, hypertension, hyperlipidemia) and at least 2 new ones (e.g., low … Continue reading

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Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | 1 Comment