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Focus on Health Care Reform Articles
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Focus on Health Care Reform: Alternatives to Current Medical Tort Litigation
Under the Patient Protection and Affordable Care Act, the Secretary of Health and Human Services (HHS) is authorized to award demonstration grants to States for the development, implementation, and evaluation […]
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Focus on Health Care Reform Series Available as Podcasts
The NCMS series Focus on Health Care Reform looks at the various provisions of The Patient Protection and Affordable Care Act of 2010. Topics covered so far include high-risk health […]
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Focus on Health Care Reform: Accountable Care Organizations and the Medicare Shared Savings Program (Sec 3022)
Accountable Care Organizations (ACOs) are an emerging health care delivery model comprised of groups of providers that join together to coordinate and improve quality and efficiency of health care by fostering greater accountability in the delivery of health care.
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Focus on Health Care Reform: RACs Expand within Medicare, into Medicaid
Physicians, practices, and facilities that provide services under Medicare Parts A or B are very familiar with recovery audit contractors (RACs). Read on to see how health reform has impacted RACs and physician practices.
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Focus on Health Care Reform – PQRI Participation Becomes Mandatory to Avoid Penalties in 2015
The Patient Protection and Affordable Care Act of 2010, signed into law on March 23rd, implements many changes to the way physicians practice medicine. Efforts to enhance the quality of care and expand reporting requirements for physicians are among the notable changes. Effective 2015, the law will impose a 1.5% penalty on Medicare reimbursement for physicians who do not participate in the Physician Quality Reporting Initiative (PQRI)…
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Focus on Health System Reform – The Medical Loss Ratio
Many provisions in the Patient Protection and Affordable Care Act (PPACA or Act) focus on changing the way health insurance companies collect and spend premium revenues. One of these provisions is known as the medical loss ratio (Sec. 1001 of the Act).
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Focus on Health Care Reform: High Risk Health Insurance Pool
The ban on pre-existing condition exclusions that is part of federal health reform does not take effect until 2014. To ensure individuals who may be subject to those provisions can […]
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