Medicaid Reform Is Moving Forward At the Legislature
Yesterday, the North Carolina Senate voted 34-10 to approve HB 372, Medicaid Transformation, a…
Understand the Proposed Medicare Physician Fee Schedule
The North Carolina Medical Society’s (NCMS) Director of Health Policy Jennifer Gasperini has…
2015 MAC Satisfaction Indicator Survey — Please Share Your Opinions!
There is still time to share your views on Palmetto GBA, but don't delay since the survey will…
CMS Posts 2014 Open Payments Financial Data
From CMS Reports The Centers for Medicare and Medicaid Services (CMS) posted data for all 2014…
Medicare and Medicaid Turn 50 Tomorrow
On July 30, 1965, President Lyndon Johnson signed legislation amending the Social Security Act and…
Trustees: Medicare Solvent Until 2030
The Medicare Trustees have projected the trust fund that finances Medicare’s hospital insurance…
Comparing the Medicaid Reform Bills and Where the NCMS Stands
With the General Assembly back in session after the July 4th break, Medicaid reform will once again…
Implementation of MACRA Has Started
Last week, the Centers for Medicare and Medicaid Services (CMS) released the first proposed update…
DMA Details Changes to Payment of Crossover Claims
The North Carolina Division of Medical Assistance (DMA) today sent a letter to providers detailing…
Medicaid Reform Update
Now that both the North Carolina House and Senate have laid out their respective Medicaid reform…
NC House Health Committee To Vote on Medicaid Reform Bill
Today the North Carolina House Committee on Health will likely vote on HB 372, 2015 Medicaid…
ACO Final Rule Released
On June 4, the Centers for Medicare & Medicaid Services (CMS) released a final rule detailing…
CMS Releases Physician Medicare Payment Data
Last week, the Centers for Medicare & Medicaid Services (CMS) released its second annual…
Potential Benefits In the SGR Repeal Law — MACRA
When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law in April,…
Another Step Toward RAC Reform in the US Senate
The Senate Finance Committee today passed the Audit & Appeal Fairness, Integrity, and Reforms…
CMS Proposes New Rules for Medicaid MCOs
Yesterday, the Centers for Medicare & Medicaid Services (CMS) released a proposal that would…
Hard-Won RAC Reform Legislation Introduced
In case you missed the announcement, on the Friday afternoon before the long Memorial Day weekend,…
RAC Reform Closer to Reality: Rep. Holding Introduces Legislation
Today, Rep. George Holding (R-NC) introduced legislation entitled “The Fair Medical Audits Act of…
Pioneer ACO Model Generates Medicare Savings, Independent Report Reveals
The US Department of Health and Human Services released an independent evaluation report showing an…
What MACRA Means to You — Detailed Summary of Historic SGR Repeal Bill
The AMA has produced a detailed summary of HR 2, the hard won legislation that repealed the…
ICD-10 Medicare Testing Opportunity Still Available
During the week of July 20-24, 2015, a final sample group of providers will have the opportunity to…
More Codes Open for Billing by PAs and NPs in NCTracks
There is some news in the long-running saga of CPT codes closed to PAs and NPs since the NCTracks…
In the News
What's Next If the Supreme Court Strikes Down Obamacare Aid? NPR, 5-11-15 White House Moves to Fix…
The SGR Has Been Repealed. Now What?
With the long awaited and historic repeal of the sustainable growth rate (SGR) formula two weeks…
Palmetto GBA Will Continue As North Carolina’s Medicare Administrator
The Centers for Medicare & Medicaid Services (CMS) announced as of April 1, 2015, Palmetto GBA…
In the News
Huge Medicare Appeals Backlog Draws Senate Scrutiny, ModernHealthCare, 4-28-15 How Is the…
NCMS Leads Medicaid Reform Efforts
The North Carolina Medical Society (NCMS) has been leading the charge toward meaningful Medicaid…
3 Percent Medicaid Retroactive Rate Reduction to Begin April 23
The NC Department of Health and Human Services issued a special Bulletin to Medicaid providers last…
CMS Proposal Seeks to Streamline EHR Incentive Programs
On Friday, April 10, the Centers for Medicare and Medicaid Services (CMS) issued a new proposed…
CMS Certifies NCTracks Paving Way for Higher Federal Payments to State
NCTracks, the claims payment system implemented by the North Carolina Department of Health and…
In the News
Prescription Drug Spending Jumps 13% To Record $374 billion in 2014, The Los Angeles Times,……
Thank your legislators for the repeal of the SGR
Please reach out to thank the Senators and Representatives who voted in favor of HB2 and repeal of…
SGR Repeal Passes Senate
Tonight, on a bipartisan vote of 92 to 8, the Senate passed H.R. 2, the “Medicare Access and CHIP…
Multiple Medicaid Reform Bills, Nursing Bills Gain Traction at the NC General Assembly
Four separate Medicaid reform bills have been filed at the General Assembly, three of which would…
State Senate Bill Filing Deadline Brings Flood of Health Care Legislation
Bill filing deadlines always bring a flood of legislation. Yesterday the North Carolina Senate's…
CMS Announces Next Generation ACO
The Centers for Medicare & Medicaid Services (CMS) Innovation Center introduced the “Next…
NCMS Works To Repeal 3 Percent Retroactive Medicaid Reimbursement Cut
The North Carolina Medical Society (NCMS) Government Affairs staff is working with key legislators…
Medicaid Recredentialing Period Extended
The NC Division of Medical Assistance (DMA) has changed the length of time required before a…
UNC Needs You To Help Assess the NC Medicaid Lock-In Program
The University of North Carolina’s Injury Prevention Research Center (IPRC) is conducting an…
Take Action
In 2013, the NC General Assembly included a 3% “withhold” for all Medicaid services with the…
NCMS Reports From the Legislature
NCMS’ Medicaid Reform Guiding Principles Medicaid reform is our top priority this session, and…
Dr. Runge Presents NCMS Guiding Principles on Medicaid Reform to NC MCC
The NCMS was recently invited to present its views on Medicaid reform to the NC Medical Care…
PAI Advocates Reform of Medicare RAC Program
The Physicians Advocacy Institute (PAI) recently sent comments to the chair of the Health…
Move Toward 'Pay for Quality' Accelerates With HHS Announcement
In an announcement last week, the US Secretary of Health and Human Services Sylvia M. Burwell set…
In the News
Obama's 2016 Budget Cuts Medicare But Eliminates Sequestration, ModernHealthCare, 2-2-15 Culturally…
NCTracks Ready to Reprocess Claims for Enhanced Payments under the ACA
From NCTracks: The Affordable Care Act (ACA) requires the state’s Medicaid program pay at the…
Pulse Check — Have You Seen Your QRUR?
Please take this quick two-question survey to help us tailor our communications and educational…