Overruns Forcing Lower Payments to Some Providers in Stopgap Health Program The Obama administration said it was cutting payments to doctors and hospitals after finding that cost overruns are threatening to use up the money available in the Pre-Existing Condition Insurance Plan program for people with cancer, heart disease, and other serious illnesses. May 21, 2013 Health Care Reform, Payment Stopgap Health Program, Pre-Existing Condition Insurance Plan 0 0 Comment Read More »
Medicare MAC Contract Protest Update The U.S. Court of Federal Claims has denied two protests that were filed challenging a decision by the CMS to award the Medicare Administrative Contractor (MAC) contract for Medicare Parts A and B in Jurisdiction E to Noridian Administrative Services. April 29, 2013 Medicare, News, Payment Jurisdiction E, Noridian Administrative Services, MAC contract, Medicare Administrative Contractor 0 0 Comment Read More »
CMS Confirms Sequestration Payment Cuts for EHR Incentive Program The Centers for Medicare & Medicaid Services (CMS) has confirmed that the Medicare electronic health record incentive program payments will be cut by 2% as required by the Sequestration Transparency Act. April 18, 2013 EHR, Medicare, Payment 2% Medicare cut, sequestration cut, EHR, Medicare EHR Incentive Program 0 0 Comment Read More »
FAQs: Affordable Care Act Primary Care Rate Increase & Medi-Cal State Plan Amendment Under the provisions of the federal Affordable Care Act (ACA), Medi-Cal is required to pay primary care physicians at Medicare rates for primary care services for two years. SFMS/CMA have compiled answers to frequently asked questions about implementation of the rate adjustment as outlined in the Medi-Cal State Plan Amendment. April 12, 2013 Health Care Reform, Payment, Physician Resource, Primary Care Affordable Care Act, Medi-Cal rate increase, PCP rate increase, primary care provider, Medi-Cal State Plan Amendment, SPA 0 0 Comment Read More »
SFMS/CMA-Sponsored SB 640 Bill to Stop Implementation of Medi-Cal Cuts Introduced Today Senator Ricardo Lara (D – Long Beach) introduced Senate Bill 640 today, which is sponsored by SFMS and CMA. SB 640 would block the 10% Medi-Cal provider rate cut and would stop the state from ‘clawing back’ rate cuts from providers dating back to 2011. April 4, 2013 Advocacy, CMA, Medi Cal, News, Payment Ricardo Lara, Medi-Cal, Medi-Cal provider rate cut, SB 640 0 0 Comment Read More »
