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Specialty physicians in Connecticut gain path to value-based care, payment boost via private health plan

The State of Connecticut Health Plan is the first commercial plan in the country to have its episodes-of-care payment model designated as an Advanced APM by CMS. With limited Advanced APM options via CMS, this designation will provide specialty physicians in the state a path to value-based care payments through the private sector.
United States State Of Connecticut Kevin Lembo Centers For Medicare Medicaid Services Connecticut Health Plan Quality Payment Program

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Athletico Receives 'Exceptional' MIPS Score Again - Physical Therapy Products

Athletico Physical Therapy, a provider of physical and occupational therapy, voluntarily participated in CMS’s 2020 Quality Payment Program (QPP), resulting in its clinicians being recognized as top-tier providers under the nation’s premier quality of care measurement program.   The Quality Payment Program is part of Medicare’s Merit-Based Incentive Payment System (MIPS), which is designed to tie payments to high quality and cost-efficient care, and is the only national benchmark for...
Aaron Rodgers Quality Payment Program Athletico Physical Therapy Merit Based Incentive Payment System Physical Therapy Exceptional Performance Threshold

Alston & Bird Health Care Week in Review - July 2021 #3 | Alston & Bird

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in healthcare regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies, and analyses; and other health policy news. Week in Review Highlight of the Week: This week, CMS published its annual Physician Fee Schedule proposed rule. Read more about the regulation and other news below. I. Regulations, Notices & Guidance On July 13, 2021, the Federal ...
United States Geoffrey Levitt Michael Kades David Mitchell Alden Abbott Rachel Moodie

Healthcare News: Congress on Infrastructure, Biden Admin Competition Reforms

Friday, July 16, 2021 This Weeks Dose Senate Democrats reach partisan agreement on human infrastructure package. Centers for Medicare and Medicaid Services (CMS) release proposed physician payment rule that addresses coverage for telemedicine services and reduces the conversion factor by 3.75%. Biden directs agencies to consider reforms to enhance competition.  Congress Senate Democrats Announced $3.5 Trillion Human Infrastructure Package. Senate Majority Leader Chuck Schumer announ...
United States Sheila Madhani Senate Majority Leader Chuck Schumer Human Services Quality Payment Program Biden Administration

CMS Proposes Cut to 'Conversion Factor' in Medicare Physician Fee Schedule

email article WASHINGTON -- The Centers for Medicare & Medicaid Services (CMS) proposed 2022 Physician Fee Schedule (PFS) rule for Medicare would lower the amount physicians are paid under fee-for-service Medicare and change the requirements for incentives under the Quality Payment Program. The changes, announced at 8 p.m. Tuesday, include a decrease in the "conversion factor" -- the multiplier that Medicare applies to relative value units (RVUs) to calculate reimbursement for a parti...
United States White House District Of Columbia Clif Gaus Anders Gilberg Joyce Frieden

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