Category 'Medicare'


Those anticipating a quiet year in health policy could be in for a surprise. While many analysts contend that election-year headwinds will prevent legislative progress on a broad range of issues, this year’s Horizon’s Health Policy Outlook offers a contrarian view. We believe the first half of 2016 could be the most productive legislative session…

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SGR Reform Law Enacts Payment Reforms to Improve Quality, Outcomes and Cost Click here to view the summary. Background On April 16, 2015, the President signed into law H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, a bipartisan agreement to reform Medicare’s physician payment program (P.L. 114-10). The package updates payments to…

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Overview: The Centers for Medicare and Medicaid Services (CMS) released preliminary quality and financial results from the second year of performance for Pioneer Accountable Care Organizations (ACO) and the first year of performance for the Medicare Shared Savings Program (MSSP). Combined, the programs generated $372 million in total Medicare program savings. Additionally, ACO’s qualified for…

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Background On January 10, 2014, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would have made sweeping changes to the Medicare Part D prescription drug program. On May 19th, CMS released its final rule on Part D. Partly in response to bipartisan Congressional pressure and hundreds of patient, provider, employer…

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Issue Brief: SGR Patch

March 26, 2014 | Under Congress, Medicare | Posted by | No Comments

House leadership has scheduled legislation to patch the SGR payment cuts for 2014 and the first quarter of 2015. The bill, negotiated between the House and Senate, is expected to be considered by the House on Thursday, March 27 and by the Senate shortly thereafter. The bill updates physician payments for one year, extends a…

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by John Rother, Joel White, and David Kendall Something unexpected is happening in Washington. As most eyes track partisan battles over immigration and the Affordable Care Act, key Congressional committees have been quietly advancing truly bipartisan legislation to strengthen Medicare. Since 2002, an outdated Medicare cost control called the Sustainable Growth Rate (SGR) has repeatedly…

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Background On January 10, 2014, the Centers for Medicare and Medicaid Services (CMS) issued a 700 page proposed regulation governing contract year 2015 Medicare Advantage (MA) and prescription drug benefit programs. The rule proposes sweeping changes to Parts C and D, and is engendering intense interest from Members of Congress of both parties. Comments on…

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