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Red Tape for Wearables and Diabetes Prevention

Under the recently released “Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2018”, CMS shared regulations limiting the inclusion of wearable and other self-reporting technology for payment-based outcomes. The restrictions relate to the Medicare Diabetes Prevention Program (MDPP), which under its current model is a structured…
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Delay in CMS Data Raises New Accuracy Concerns

As providers strive to reduce readmission and value based payment penalties, new attention may be drawn to the accuracy of the calculations that determined the penalties. According to a recent article by ProPublica, the long-awaited release of “Analysis of 2014 Medicare Advantage Encounter Data” was unexpectedly cancelled with the explanation being “to determine if it…
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Zero readmissions can hinder SNFs in new VBP program

According to the latest “Proposed Rounding Clarification for SNF VBP Scoring”, an analysis of the historical Skilled Nursing Facility 30-Day All-Cause Readmission Measure data found that a small number of facilities had zero readmissions during the applicable performance period. While the exemplary outcome should be viewed as a remarkable achievement, attaining this benchmark during the…
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