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OIG: Compendium of Unimplemented Recommendations

The Office of Inspector General's 2016 Compendium of Unimplemented Recommendations outlines 25 unimplemented recommendations the office says would help cut costs and improve quality among Department of Health & Human Services programs.
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Value Based HealthCare Transitions

With all the talk and momentum to move away from a Fee For Service healthcare model to a Value Based Payment model one can get lost and confused. The important thing to remember is that there is still time before one model replaces the other.
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Fixed Payments...the answer to healthcare savings?

CJR or Comprehensive Joint Replacement bundle implemented in January 2016 and enforced this month on April 1st has potential and the expectation to bring down health care costs.
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TARGETED MEDICAL REVIEW-THE EVOLUTION OF MMR

CMS released its definition and plan for what targeted medical review would look like. Details of the proposed targeted medical review are found at CMS’s Therapy Cap Webpage and shared here.
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Reliant Reveal Policy Series - Observation Status and the Hill Talking Points

Long term care providers and vendors took the Hill during the NASL Winter conference to refresh legislators’ minds about the importance of dealing with the 3 midnight rule affecting beneficiary access to their Medicare Part A benefits.
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Reliant Reveal Policy Series - Telehealth; Therapy Cap Repeal; President’s Proposed Budget…

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NASL Winter Conference Update

This year’s conference focus was on action items related to Chronic Care initiatives, Section GG, Telehealth and the future of Part B coding and proposed changes to reimbursement for Post-Acute Care under a Value Based system.
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GAO…data is conflicting?

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CCJR, rather CJR Final Finally

Specifically outlined here are the changes in waivers as found in the AHCA summary
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CMS 5 Star: Cut Points and Value Data Set Updates Available at cms.gov

The document - Five Star Quality Rating System Technical Users’ Guide: State Level Health Inspection Cut Point Table - provides the data for the state-level cut points for the star ratings included in the health inspection domain.
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