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CMS confirmed Tuesday it will cancel two mandatory bundled payment programs and scale back another—and not all hospitals are happy about it.

A rule title posted to the Federal Register on Aug. 10 indicates CMS will cancel two mandatory bundled payment programs, the Advancing Care Coordination through Episode Payment Models (EPMs) and Cardiac Rehabilitation Incentive (CRI) Payment Models, while changing a separate payment program on joint replacements.

Following up on recommendations by his own White House commission, President Donald Trump said he will declare a national public health emergency on the opioid addiction epidemic, which would have an impact on healthcare providers.

In an analysis of what Affordable Care Act (ACA) exchange insurers are requesting to charge customers in 21 major cities in 2018, the Kaiser Family Foundation found the cost for the second-lowest silver-level plan will range from $244 to $631 per month, with most enrollees cushioned from the price hikes by federal subsidies.

The U.S. Senate unanimously passed a bill on Aug. 3 which would allow terminally ill patients the “right to try” experimental treatments that haven’t yet been approved by the Food and Drug Administration (FDA), but critics say it gives patients false hope without allowing for federal oversight.

 

Recent Headlines

Q+A: AMGA says MACRA proposed rule sends wrong message on value-based care

Groups representing physicians, hospitals, internists and health IT were quick to praise the proposed rule for the second year of the new payment tracks under the Medicare Access and CHIP Reauthorization Act (MACRA). The American Medical Group Association, however, has a decidedly different take.

Senate’s version of ACA repeal released

The legislation takes many provisions from the House-passed American Health Care Act (AHCA) under a new name: the Better Care Reconciliation Act (BCRA).

Proposed MACRA changes praised in initial industry reaction

The American Medical Association (AMA) and the American Hospital Association (AHA) appear pleased with the proposed rule for the second year of the Quality Payment Program (QPP), with some groups reserving judgment until they have time to review the 1,058-page regulation.

CMS proposes raising low-volume exemption, adding virtual groups in MACRA’s second year

The proposed rule for the second year of the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program (QPP) has been released by CMS, with its stated goal to “simplify the program, especially for small, independent, and rural practices, while ensuring fiscal sustainability and high-quality care.”

The timeline leading up to the Senate’s ACA repeal vote

Senate Republican leaders appear to be sticking to their goal of holding a vote on the American Health Care Act (AHCA), their vehicle for repealing and replacing the Affordable Care Act, by the end of June, despite resistance from both Democrats and the healthcare industry on legislation that has yet to be released.

Nevada ‘Medicaid for all’ bill vetoed

Nevada Gov. Brian Sandoval has vetoed legislation to create a Medicaid buy-in option in the state.

AMA 2017: Delegates take aim at Trump with new policies

The American Medical Association (AMA) adopted a wide range of new policies at its annual meeting of delegates in Chicago, ranging from more practice-oriented concerns to politically-charged resolutions related to the positions of President Donald Trump.

Democrats’ bill would make reinsurance permanent for ACA exchanges

Legislation to establish a permanent reinsurance program for the Affordable Care Act marketplace has been introduced by five Democratic senators.

AHA to CMS: Suspend hospital star ratings, eCQM reporting

In a letter to CMS, the American Hospital Association (AHA) recommended the agency’s deregulation efforts begin with suspending the hospital star ratings, which it called “inaccurate and misleading.”

Trump calls House’s ACA repeal bill ‘mean’

President Donald Trump reportedly told Republican senators the House-passed version of the American Health Care Act (AHCA) is “mean” and asked for the Senate version to be “more generous,” according to congressional sources who spoke to the Associated Press.

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