Inside Angle

From 3M Health Information Systems

Tag: MedPAC

National guideline changes for ED E/M coding due by 2022

March 18th, 2019 / By Barbara Aubry, RN

According to a March 7, 2019 article in Modern Healthcare, the Medicare Payment Advisory Commission (MedPAC) has decided to recommend that HHS revisit the national ED coding rules by 2022, citing […]

Data can show us many things, not all of them real…

March 13th, 2019 / By Richard Fuller, MS

Modern Healthcare recently published another article questioning the utility of the CMS hospital readmission reduction program (HRRP). The article used as its basis two publications, the first of which returned […]

What is ahead for hospitals based on the December MedPAC meeting?

December 14th, 2018 / By Gretchen Mills

MedPAC is the nonpartisan advisory group that provides advice to Congress (and CMS).  Although not mandatory, MedPAC recommendations are taken seriously and may be implemented by CMS through regulation or […]

MIPS repeal? MedPAC urges scrapping MIPS in favor of tracking more meaningful outcomes

October 6th, 2017 / By L. Gordon Moore, MD

“The Medicare Payment Advisory Commission is pushing for the immediate repeal and replacement of a Medicare payment system that aims to improve the quality of patient care.” – Modern Healthcare […]

Predictive models and population health risk: Payment (part one)

January 25th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In this blog we take a look at risk-adjustment models used in population health. There are two related but distinct uses for population risk models – payment and population health […]

We Need a New Way to Finance Hospital Externalities

September 18th, 2014 / By Norbert Goldfield, MD, Richard Fuller, MS

Paying hospitals for beneficial mission-related costs has been a hit and miss affair. These costs fall under the general headings of providing indirect medical education, ensuring standby capacity for trauma […]

Payment policy bias against high Disproportionate Share Hospitals (DSH)

March 10th, 2014 / By Norbert Goldfield, MD, Richard Fuller, MS

In its June 2013 report to Congress, MedPAC offered ways to refine the CMS Hospital Readmissions Reduction Program (HRRP). These included issues of stability (and efficiency) due to dealing with […]