Background Historically, Post Acute Care Providers also known as Long Term Services and Supports (LTSS) providers have been reimbursed under the traditional Fee-For-Service (FFS) model for both Medicaid and Medicare. FFS pays for volume and doesn’t reward providers for producing good health outcomes for the older...

Moody’s: Hospital Margins Generally Positive Hospital margins are generally positive, according to a new report from Moody’s. The industry’s positive margin in 2016 was 5.7 percent, a slight decline from 6.1 percent in 2015. Margins and liquidity “remain in-line with historical levels while demand trends remain...

May 15, 2017 CMS: 806,000 Clinicians NOT Required to Participate in MIPS About two-thirds of Medicare clinicians won’t have to participate in MACRA’s Merit-based Incentive Payment System, CMS said last week. CMS planned to tell doctors via letter if they had to comply with the first-year program...

MacArthur Amendment to the American Health Care Act – 4/13/17 Insurance Market Provisions The MacArthur Amendment would: Reinstate Essential Health Benefits as the federal standard Maintain the following provisions of the AHCA: -Prohibition on denying coverage due to preexisting medical conditions -Prohibition on discrimination based on gender -Guaranteed issue of...