ACOI: American College of Osteopathic Internists’ Post

Bill Alert! US Senate Bill S 5400 - A bill to amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test an emergency medical services treatment-in-place model under the Medicare program. Status: Bill Introduced Full Details: https://lnkd.in/gSnndnZA Bill 118 s 5400, also known as the Emergency Medical Services Treatment-in-Place Model Testing Act, aims to make changes to title XI of the Social Security Act. The bill specifically focuses on requiring the Center for Medicare and Medicaid Innovation to conduct testing of an emergency medical services treatment-in-place model within the Medicare program. The purpose of this model is to explore alternative methods of providing emergency medical...

Medicare Conversion Rate Increased!!! 🙂 The President signed into law the Consolidated Appropriations Act, 2024, adding 1.68% to the Medicare Physician Fee Schedule beginning on March 9, 2024, through Dec. 31, 2024. This partially addresses the 3.37% cut to the Medicare conversion factor that took effect Jan. 1, and leaves a 1.69% reduction in place for the rest of the year. The conversion factor for Jan. 1 to March 8 was $32.7442. The conversion factor for March 9 to Dec. 31 is $33.2875. The Centers for Medicare and Medicaid Services (CMS) updated its website to reflect this change, and MGMA updated its analysis of the final 2024 Medicare Physician Fee Schedule. #medicare #conversionfactor #physicians

For many facilities, the reality of the first quarter clearinghouse drama has pushed their 2024 price transparency priorities to the bottom of the to-do list. To ensure avoiding the CMS Enforcement Actions, it's crucial to understand the latest requirements and new guidelines set forth by the Centers for Medicare & Medicaid Services (CMS), effective as of January 1, 2024. Read our latest blog and stay abreast of this year’s transparency compliance regulatory changes, which are paramount for hospitals and health systems to maintain financial integrity and foster patient trust. https://buff.ly/4bh2oKR #CMSPriceTransparency #TheSSIGroup

Mark Mantei, CEO of Vancouver Clinic, a Better Medicare Alliance ally, supports Medicare Advantage because it delivers high-quality care for seniors. “Medicare Advantage has provided affordable, comprehensive care for seniors in Southwest Washington and Oregon,” he says. “We remain dedicated to collaborating with policymakers to reduce administrative hurdles and strengthen the overall effectiveness of Medicare Advantage for patients and providers alike.”

Gain Germane Solutions' insights into how the recently released 2025 Medicare Inpatient Prospective Payment proposed rules will impact GME funding here:

A recent Kodiak study shows that Medicare Advantage plans are missing the mark on the Two-Midnight Rule, making it tough for hospitals to get fair reimbursement for the care they provide. At Brundage Group, we're here to fight inappropriate denials, support revenue capture, and advocate for quality patient care. Learn how we can help your hospital stay compliant and protect revenue:

The Centers for Medicare & Medicaid Services recently released the CY 2026 Policy and Technical Changes to the Medicare Advantage Program, Part D, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly proposed rule. The rule proposes new policies related to the coverage of anti-obesity medications in Part D and Medicaid, medical loss ratio and utilization management requirements, use of AI tools, and more. Read on for more: https://lnkd.in/g2mj6ujt

The Centers for Medicare and Medicaid Services (CMS) released the proposed payment regulations for calendar year 2025. Key among these is a proposed 2.8% cut for physician service. Our societies will urge Congress to reverse these unacceptable cuts - and you can help by pushing Congress to adopt lasting changes that tie physician payments to the Medicare Economic Index. Take action now! https://hubs.ly/Q02GyyxP0. For more: https://hubs.ly/Q02GyFxP0. #MedicareReimbursement

Robert Berenson of the Urban Institute and Kevin Hayes outline ways to fix the Medicare Physician Fee Schedule and ultimately improve value-based payment efforts. The authors conclude that the “Centers for Medicare and Medicaid Services (CMS) should correct misvalued services and establish a hybrid payment for primary care that blends fee-for-service and population-based payment.” They also recommend that “Congress alter the thirty-five-year-old statutory basis for setting Medicare fees to allow CMS to explicitly consider policy priorities such as workforce shortages in refining fee levels.” Read the full article: https://bit.ly/3SiH0O6

For many facilities, the reality of the first quarter clearinghouse drama has pushed their 2024 price transparency priorities to the bottom of the to-do list. To ensure avoiding the CMS Enforcement Actions, it's crucial to understand the latest requirements and new guidelines set forth by the Centers for Medicare & Medicaid Services (CMS), effective as of January 1, 2024. Read our latest blog and stay abreast of this year’s transparency compliance regulatory changes, which are paramount for hospitals and health systems to maintain financial integrity and foster patient trust. https://buff.ly/4bh2oKR #CMSPriceTransparency #TheSSIGroup