Medicare / Medicaid

MedPAC: No Payment Increase Needed for Docs in 2021

The Medicare Payment Advisory Commission (MedPAC) is recommending a 0% fee-for-service payment update — as specified in current federal law — in 2021 for physicians who treat Medicare patients, saying that Medicare beneficiaries continue to have few problems accessing care. Although MedPAC isn’t recommending a pay raise for clinicians, it is recommending a slight increase

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States Testing Value-Based Payments in Medicaid Managed Care

States and Medicaid managed care organizations are experimenting with value-based payment models, but their policy choices come with difficult tradeoffs. Federal law gives states plenty of flexibility to encourage value-based payments in Medicaid managed care, but rolling out those payment reforms requires a lot of effort from states, according to new research presented by the

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‘Medicare for All’ Campaign Calls Aren’t Causing Agita for Healthcare Execs

Democratic presidential candidates’ calls for “Medicare for all” may seem like a threat to profits and innovation in the U.S. healthcare sector, but not all industry executives see it that way, even in the remote chance such a proposal is enacted. The federal government already accounts for about $1 trillion of the $3.5 trillion in

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Trump Administration Eyes Unified Post-Acute Payment System, $756B in Medicare Cuts

The Trump administration released its proposed budget for fiscal year 2021 on Monday. In addition to doubling down on the administration’s efforts aimed at reducing Medicare fraud, waste and abuse, the proposal touts savings tied to a potential unified payment system for post-acute care providers. Overall, the White House budget proposal seeks to curb spending

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