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Medicare

Nov 11 2014

2015 CMS Hospital Outpatient Rule

http://www.gpo.gov/fdsys/pkg/FR-2014-11-10/pdf/2014-26146.pdf
Oct 10 2014

2014 Medicare Trustees Report

http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ReportsTrustFunds/Downloads/TR2014.pdf
Sep 16 2014

An Avalere study finds that very low numbers of Medicare beneficiaries who are supposed to be getting MTM services are actually receiving them.

http://avalere.com/expertise/managed-care/insights/few-medicare-beneficiaries-receive-comprehensive-medication-management-serv
Jun 25 2014

MedPAC Annual Report to Congress 2014

http://www.medpac.gov/documents/Jun14_EntireReport.pdf
Jun 25 2014

The Medicare Payment Advisory Commission has sent a letter to CMS regarding problems ACOs are having in their early Medicare experience, including patient attribution and quality reporting issues.

http://www.medpac.gov/documents/06162014_ACO_issue_letter_2014_COMMENT.pdf
Jun 06 2014

The Office of Inspector General of HHS has issued a report saying that CMS likely overpaid for office visits in Medicare by $6.7 billion and recommended that CMS take efforts to recover this money and to track abusive physicians better.  CMS basically blew OIG off, I mean after all, what's a few billion more of wasted taxpayer funds.

https://oig.hhs.gov/oei/reports/oei-04-10-00181.pdf
Jun 05 2014

Not that we really need any more evidence, but a Government Accounting Office report finds that physicians who own a physical therapy practice  refer more Medicare beneficiaries to physical therapy than do doctors with no ownership interest, although less services per beneficiary are received.  This suggests that those with an ownership interest are referring patients with less of a need.

http://www.gao.gov/assets/670/662860.pdf
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