Category: Government Regulations

Medicare Payment Cuts Advised For Many ERs That Aren’t Inside Hospitals

The woman arrived at the emergency department gasping for air, her severe emphysema causing such shortness of breath that the physician who examined her immediately put her on a ventilator to help her breathe. The patient lived across the street

CMS shakes up telemedicine, will pay for more services – MedCity News

On Thursday, the Centers for Medicare and Medicaid Services released a final rule for the 2018 Medicare Physician Fee Schedule. The lengthy (as in 1,653-page) document outlines numerous changes. For one, it increases physician payment rates by 0.41 percent for 2018 compared to this year. But a less frequently

Rural hospitals are relying on simplified EHR systems to stay afloat

That rural hospitals are struggling isn’t exactly a secret. More than 80 rural facilities have closed since 2010, and recent research from iVantage Health Analytics found that 41 percent of them are operating at a negative margin. Some of these

New law seeks to prevent surprise medical bills from freestanding ERs

Patients who visit freestanding emergency rooms in Texas should now have a better idea of whether their health insurance will cover the bill. A new state law that took effect Sept. 1 requires the facilities — which resemble urgent care clinics but

After single payer failed, Vermont embarks on a big health care experiment – The Washington Post

Doug Greenwood lifted his shirt to let his doctor probe his belly, scarred from past surgeries, for tender spots. Searing abdominal pain had landed Greenwood in the emergency room a few weeks earlier, and he’d come for a follow-up visit

In Ontario, Paramedics linking with ER docs could mean treatment at home

When Simcoe County Paramedic Services director Andrew Robert looks at your living room, he can see a virtual emergency room. And under the advice from the Sunnybrook Centre for Prehospital Medicine’s Dr. Paul Hoogeveen, the county’s head paramedic is asking

Medicaid expansion under Obamacare had little effect on ER visits

A new study at Johns Hopkins found that the expansion of Medicaid under the Affordable Care Act had little effect on the number of emergency room visits. Researchers at Johns Hopkins School of Medicine analyzed the ACA Medicaid expansion in 2014 in

CMS proposes Quality Payment Program rule for 2018 

The Centers for Medicare and Medicaid Services has proposed a new rule for its Quality Payment Program in an effort to simplify reporting requirements with updates for the second and future years of the program. In October 2016, CMS published

Gov. Greg Abbott pushes back announcement on Texas special session | The Texas Tribune

Gov. Greg Abbott‘s announcement on whether he will call a special session is not expected to happen before next week. On Monday, Abbott said he would share his verdict “later this week.” On Friday, his office said he would not

Blue Cross in Alabama says it won’t quit paying for some ER visits |

Starting in July, Blue Cross Blue Shield of Georgia will stop covering emergency room visits that the health insurance provider deems unnecessary. Don’t expect Alabama to follow suit, however. The Georgia Blue Cross policy is an effort to keep people