Susan Morse

CMMI said one model will test a four-step process to integrate shared decision-making into clinical practice while the other focuses on shared decision-making outside the doctor’s office. 

Sessions will also step into AG role during the Department of Justice’s mega-merger injunctions against Anthem and Cigna as well as Aetna and Humana. 

The Georgia Representative and Affordable Care Act opponent supports the use of health savings accounts and capping tax breaks for employer-based coverage. 

Andrew Bremberg, an advisor to Senate Majority Leader Mitch McConnell and former Health and Human Services employee, will lead workflow, policy and personnel for the transition team. 

The massive scheme at Fort Hood, Texas, involved prescribing pain creams to military personnel and disguising payments. 

Executives involved with the code switch said the first year went smoothly. But they are now expecting a new level of difficulty in the next 18-24 months while coders must be more precise for CMS and private insurers to accept and pay claims. 

The insurer is adding American Well's AMWell service to its existing MDLive options to enable doctors to treat patients with minor medical conditions remotely. 

Between 2010 and 2015, Medicare beneficiaries across all states avoided almost 104,000 readmissions, according to CMS data released Tuesday.

The Centers for Medicare and Medicaid Services Acting Administrator outlines four new options that physician groups will have to comply with the law, avoid negative payment adjustments and, in certain cases, even qualify for a modest incentive payment.  

More than 400 Medicare ACOs generated some $466 million in savings, said Patrick Conway, MD, Chief Medical Officer of the Centers for Medicare and Medicaid Services on August 25. Of those, 125 qualified for shared savings payments by meeting quality performance standards.