Literature DB >> 27906531

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements. Final rule.

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Abstract

This major final rule addresses changes to the physician fee schedule and other Medicare Part B payment policies, such as changes to the Value Modifier, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This final rule also includes changes related to the Medicare Shared Savings Program, requirements for Medicare Advantage Provider Networks, and provides for the release of certain pricing data from Medicare Advantage bids and of data from medical loss ratio reports submitted by Medicare health and drug plans. In addition, this final rule expands the Medicare Diabetes Prevention Program model.

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Year:  2016        PMID: 27906531

Source DB:  PubMed          Journal:  Fed Regist        ISSN: 0097-6326


  11 in total

1.  A Centers for Medicare & Medicaid Services Lens Toward Value-Based Preventive Care and Population Health.

Authors:  Carlye Burd; Nina C Brown; Pranav Puri; Darshak Sanghavi
Journal:  Public Health Rep       Date:  2016-12-14       Impact factor: 2.792

2.  Testing New Codes to Capture Post-Operative Care.

Authors:  Courtney A Gidengil; Ateev Mehrotra; Ashley M Kranz; Emily Butcher; Lee H Hilborne; Barbara O Wynn
Journal:  Rand Health Q       Date:  2017-01-01

3.  Collaborative Care for Depression and Posttraumatic Stress Disorder: Evaluation of Collaborative Care Fidelity on Symptom Trajectories and Outcomes.

Authors:  Bradley E Belsher; Daniel P Evatt; Xian Liu; Michael C Freed; Charles C Engel; Erin H Beech; Lisa H Jaycox
Journal:  J Gen Intern Med       Date:  2018-04-27       Impact factor: 5.128

4.  Racial and ethnic estimates of Alzheimer's disease and related dementias in the United States (2015-2060) in adults aged ≥65 years.

Authors:  Kevin A Matthews; Wei Xu; Anne H Gaglioti; James B Holt; Janet B Croft; Dominic Mack; Lisa C McGuire
Journal:  Alzheimers Dement       Date:  2018-09-19       Impact factor: 21.566

5.  Not all primary total hip arthroplasties are equal-so is there a difference in reimbursement?

Authors:  Nipun Sodhi; Sarah E Dalton; Luke J Garbarino; Peter A Gold; Nicolas S Piuzzi; Jared M Newman; Anton Khlopas; Assem A Sultan; Morad Chughtai; Michael A Mont
Journal:  Ann Transl Med       Date:  2019-02

6.  Making Strides in Type 2 Diabetes Prevention.

Authors:  Ann L Albright
Journal:  Diabetes Spectr       Date:  2018-11

7.  Financing for Collaborative Care - A Narrative Review.

Authors:  Andrew D Carlo; Jürgen Unützer; Anna D H Ratzliff; Joseph M Cerimele
Journal:  Curr Treat Options Psychiatry       Date:  2018-07-06

8.  Federal, State, and Local Nutrition Policies for Cancer Prevention: Perceived Impact and Feasibility, United States, 2018.

Authors:  Lauren Lizewski; Grace Flaherty; Parke Wilde; Ross Brownson; Claire Wang; Melissa Maitin-Shepard; Yan Li; Dariush Mozaffarian; Fang Fang Zhang
Journal:  Am J Public Health       Date:  2020-05-21       Impact factor: 9.308

9.  Cost-effectiveness of multidisciplinary care in mild to moderate chronic kidney disease in the United States: A modeling study.

Authors:  Eugene Lin; Glenn M Chertow; Brandon Yan; Elizabeth Malcolm; Jeremy D Goldhaber-Fiebert
Journal:  PLoS Med       Date:  2018-03-27       Impact factor: 11.069

10.  Sustainable care coordination: a qualitative study of primary care provider, administrator, and insurer perspectives.

Authors:  Mark D Williams; Gladys B Asiedu; Dawn Finnie; Claire Neely; Jason Egginton; Lila J Finney Rutten; Robert M Jacobson
Journal:  BMC Health Serv Res       Date:  2019-02-01       Impact factor: 2.655

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