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Archive for August, 2015

2014 Medicare ACO Results Announced

Tuesday, August 25th, 2015

The Centers for Medicare & Medicaid Services (CMS) has issued 2014 quality and financial performance results showing that Medicare Accountable Care Organizations (ACOs) continue to improve the quality of care for Medicare beneficiaries, while generating financial savings. As the number of Medicare beneficiaries served by ACOs continues to grow, these results suggest that ACOs are delivering higher quality care to more and more Medicare beneficiaries each year.

According to the results, the 20 ACOs in the Pioneer ACO Model and 333 Medicare Shared Savings Program ACOs generated more than $411 million in total savings in 2014, which includes all ACOs’ savings and losses. At the same time, 97 ACOs qualified for shared savings payments of more than $422 million by meeting quality standards and their savings threshold. The results also show that ACOs with more experience in the program tend to perform better over time.

For more information, visit https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-08-25.html

 

Medicare DMEPOS Competitive Bidding Program Timeline Announced

Wednesday, August 12th, 2015

The Centers for Medicare & Medicaid Services (CMS) has announced the bidding timeline for Round 1 of the 2017 competition of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. The agency is required to re-compete the contracts at least once every three years. Suppliers then submit bids to provide certain equipment and supplies in competitive bidding areas.

For more on the program, including the bidding rules and other resources for suppliers, visit www.dmecompetitivebid.com.

 

Enforcement Delay Extended

Wednesday, August 12th, 2015

The Centers for Medicare & Medicaid Services (CMS) has extended the partial enforcement delay of the two-midnight policy through December 31st. The current delay was set to expire on September 30. Under the extension, Recovery Audit Contractors (RACs) are prohibited from conducting post-payment patient status reviews for claims with dates of admission from October 1 through December 31, 2015. CMS also provided further details related to changes in the agency’s education and enforcement strategies for patient status claims.

For more on the announcement, visit www.cms.gov