News & Analysis

March 19, 2019
Medicare Web

Value-based payment systems like Medicare’s Merit-based Incentive Payment System hold providers accountable for population health measures driven by factors beyond their control, and this has resulted in a misalignment in accountability, according to a commentary in the American Journal of Accountable Care.

March 15, 2019
Case Management Monthly

The disappearing MLN Matters® on total knee arthroplasty is back. CMS reissued it on January 24 with fixes to some—but not all—of the problems in the initial version.

March 13, 2019
Medicare Web

Q: Do you have any advice for what to do when confronted with a duty-to-warn situation?

March 12, 2019
Medicare Web

The Occupational Safety and Health Review Commission (OSHRC) affirmed an OSHA citation in a case where an employee of Integra Health Management, Inc., of Owings Mill, MD, was killed by a client with a history of violent behavior.

March 8, 2019
Case Management Monthly

The latest Biennial Health Insurance Survey released by the Commonwealth Fund, a private foundation that aims to promote a high-performing healthcare system, finds that a growing number of Americans are struggling with insurance-related problems.

March 6, 2019
Medicare Web

Q: Is there a difference between a conflict of interest and a dual relationship for a case manager?