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Obama Administration to Change How Doctors are Paid

Building on years of rhetoric and experiments aimed at changing how doctors are paid, Health and Human Services Secretary Sylvia Burwell announced in late January Medicare would start to evaluate and compensate doctors based not only on what services are provided but also on the presumed quality of the care delivered. Medicare currently has programs that attempt to compensate doctors based on patient health outcomes and other factors, including Accountable Care Organizations and lump sum or “...

Low Medicaid Fees Case Reaches Supreme Court

Medicaid providers in Idaho had their day in court in January when the Supreme Court heard oral arguments in Armstrong v. Exceptional Child Center. The issue before the court centers on federal law requiring states to ensure adequate access for Medicaid beneficiaries, and whether low reimbursement rates for providers violate that law. The plaintiffs, facilities serving people who have intellectual and developmental disabilities, are challenging the rates the states paid them and are asking the...

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