Clinicians May Submit 2018 MIPS Data Through April 2

Clinicians participating in the Merit-based Incentive Payment System may submit their 2018 performance data at the Quality Payment Program website through April 2, with the exception of certain quality data. Clinicians who report quality measures via Medicare Part B claims submit their performance data throughout

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HHS Announces Priorities for New Physician-Focused Payment Models

The US Department of Health and Human Services recently released guidance on its priorities for physician-focused payment models to help stakeholders who are crafting proposed models for its technical advisory committee (PTAC) to review and potentially recommend. In addition to the 10 criteria established by

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Study: CJR Hospitals Reduce Medicare Spending, Post-Acute Discharges

Hospitals participating in the first two years of the Comprehensive Care for Joint Replacement model reduced Medicare spending for hip- and knee- replacement episodes by an average 3.1 percent more than hospitals not participating in the program, without an increase in complication rates,

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CMS Call on New Hospital Clinical Laboratory Data Reporting Requirements

The Centers for Medicare & Medicaid Services will host a Jan. 22 call for clinical diagnostic laboratories, including hospital outreach laboratories, on collecting and reporting data for the Clinical Diagnostic Test Payment System. Under the physician fee schedule final rule for calendar year 2019, many

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CDC: Deaths from Synthetic Opioids Continue to Climb

U.S. overdose death rates linked to synthetic opioids increased more than 45 percent in 2017, likely driven by illicitly manufactured fentanyl, according to a recent report from the Centers for Disease Control and Prevention. Deaths from heroin and prescription opioids remained stable. “The drug overdose

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NCHA Strategic Partner Spotlight

Jan. 17 Webinar on ACA Reporting Requirements NCHA Strategic Partners invites you to a webinar Jan. 17 at 2 pm on Affordable Care Act (ACA) Reporting Requirements with The Marsh & McLennan Agency. The webinar will provide a review of the Affordable Care Act’s

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Around the State

Greensboro’s longstanding Cone Health Women’s Hospital is moving from Green Valley Road to the south tower of Moses H. Cone Memorial Hospital. It will have a new name when it opens this fall: Cone Health Women’s and Children’s Center at Moses Cone Hospital. Novant

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CMS Final ACO Rule: Extensively Restructures the Program & Transfers More Risk

The Centers for Medicare and Medicaid Services (CMS) has issued a final rule that will overhaul the Medicare Shared Savings Program, which is the program established by the Affordable Care Act (ACA) and launched in 2012 under which the vast majority of Medicare’s Accountable Care Organizations

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2019 State Medical Facilities Plan Is Now Available

The 2019 State Medical Facilities Plan is now available online here. The NC Division of Health Service Regulation will post an order form as soon as printed copies are available in mid- to late-January.

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Appeal Filed to Judge’s Ruling that the ACA Is Unconstitutional

Seventeen Democratic attorneys general, including North Carolina’s Josh Stein, recently appealed a federal judge’s recent ruling that the entire Affordable Care Act (ACA) is unconstitutional. “Our goal is simple: to stand up for the law of the land – the ACA – in order

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