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CMS to Phase in Controversial Payment Cut to Dialysis Providers
In what is likely to be a relief to dialysis providers, the CMS decided to phase in the controversial payment cut to dialysis providers over a three- to four-year period.
In what is likely to be a relief to dialysis providers, the CMS decided to phase in the controversial payment cut to dialysis providers over a three- to four-year period.
Moreover, overall payments for 2014 will remain the same, according to the final rule issued Friday (PDF).
A tax bill passed in January calls for the rebasing of dialysis rates to better reflect decreased utilization of expensive anemia drugs that have been linked to safety concerns. But the industry has lobbied heavily against the cut, arguing that the drugs themselves have become more expensive and more drugs are being added to the bundled payment.
The final rule also authorized a 50% increase to the home dialysis training add-on payment and strengthened the Quality Incentive Program, which penalizes providers who don't meet certain performance standards.
Read the full story here: http://bit.ly/19W8WIi
Source: Modern Healthcare
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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