Tag Archives: MACRA final rule

MACRA Final Rule: CMS Strikes A Balance; Will Docs Hang On?

The central theme of the MACRA Final Rule is its softening of key parameters in an effort to allay provider concerns, rally participation, and avoid adverse consequences out of the gate. The complexity and Icarian vision of MACRA abides, but CMS is all but ushering docs in with their bare hands.

October 17, 2016

Twenty-First Century Medicaid: The Final Managed Care Rule

On April 25, CMS released a behemoth 1,425-page final rule that will guide the delivery of health care for tens of millions of children and adults. This posts provides an overview of what the rule seeks to accomplish and how it tries to position health care delivery under a regulatory system...

May 5, 2016

Breaking Down The MACRA Proposed Rule

The mother ship has landed. On Wednesday, April 27, CMS released the highly-anticipated proposed rule that would establish key parameters for the new Quality Payment Program. This post briefly outlines the key elements of the proposed rule.

April 29, 2016

Medicaid Managed Care Final Rule: Examining The Alignment With Qualified Health Plan Requirements (Updated)

In the final Medicaid Managed Care (MMC) rule, CMS indicated a desire to align MMC requirements with those governing qualified health plans in the marketplaces. However, the regulations for the two programs vary in some cases, recognizing their differences.

April 29, 2016