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MedPAC Proposing to Replace MIPS

The Medicare Payment Advisory Commission (MedPAC) is researching a proposal that includes a recommendation to eliminate the Merit-based Incentive Payment System (MIPS) in favor of a value-based payment system that is less administratively burdensome.


2018 Medicare Physician Fee Schedule Summary

On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued their final rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2018.


Anthem CEO Joseph Swedish to Step Down

Anthem Inc.’s Chief Executive Joseph R. Swedish will step down, and the insurance giant will name veteran managed-care executive Gail K. Boudreaux as its next leader, according to people with knowledge of the matter.


CVS Makes Blockbuster Aetna Bid

CVS Health Corp. (CVS) is in talks to buy Aetna Inc. for more than $66 billion as the drugstore giant scrambles to fortify itself against looming competition from Amazon amid a continuing reordering of the health-care industry.


Improvement Activity Attestation: The Waiting Game

We are now into the fourth quarter of the first year of the Quality Payment Program and CMS has yet to finalize and publish a mechanism to accept attestations for the MIPS Improvement Activity (IA) performance category for radiologists using the claims-based submission option for reporting.