Centers for Medicare and Medicaid Services

| Posted On May 15, 2017 | By:

Can You Afford Healthcare in Retirement?

Many people have a common misconception that, since they paid social security taxes during their working years, their Medicare benefits are fully covered. As people begin to plan for retirement when their income is reduced and medical expenses may increase, they are disappointed to learn that Medicare is not free and in fact, it has premiums and deductibles and financial penalties for non-compliance with enrollment requirements.

They are also surprised to learn that:

  • Medicare was never intended to be a comprehensive insurance plan
  • Only 80% of allowable expenses are paid
  • There is no coverage when traveling out of the country
  • There are no hearing aid or eyewear benefits at a time when they are most needed

If you earn an income of $85,000 or less,

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| Posted On Jan 19, 2017 | By:

Atrius Health Joins CMS Next Generation Accountable Care Organization Model

We are delighted to announce that our organization has been selected to participate in the 2017 Centers for Medicare & Medicaid Services’ (CMS) Next Generation Accountable Care Organization (ACO) Model – a transformative initiative sponsored by the CMS Innovation Center. As a Next Generation ACO, Atrius Health will work closely with CMS to provide its Medicare beneficiaries with higher-quality care at lower costs.

Today’s announcement was the culmination of a competitive selection process that began in March 2016 with the national release of a Request for Letters of Intent from CMS.

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| Posted On Aug 13, 2015 | By:

VNA Care Network & Hospice and VNA of Boston Excel in CMS Quality of Patient Care Star Ratings

This week, Atrius Health announced that home health care affiliates VNA Care Network & Hospice and VNA of Boston received high Quality of Patient Care Star Ratings from the Centers for Medicare & Medicaid Services (CMS). These new scores from CMS will allow consumers to compare and choose among home health agencies on the basis of quality patient care. VNA Care Network & Hospice received a 4.0 out of 5.0 star rating, one of the 20% of home health agencies nationwide that received a 4-star rating or better.

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| Posted On Mar 27, 2015 | By:

It’s Time to Fix the Medicare Sustainable Growth Rate Permanently

Yesterday, the House of Representatives passed the Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act,  (H.R. 2), by a vote of 392–37 to permanently replace Medicare’s Sustainable Growth Rate (SGR) and returned stability to physicians and Medicare patients. We would like to publicly thank all of the members of the Massachusetts Congressional delegation, all of whom voted to support this important piece of legislation.

Unfortunately the Senate has decided to defer voting on the measure until it returns April 13 from a two-week break. 

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| Posted On Mar 05, 2015 | By:

Atrius Health Joins Group Urging Congress to Strengthen Medicare Advantage

More than 16 million seniors are enrolled in Medicare Advantage, which is a type of Medicare health plan offered by a private company that contracts with Medicare to provide seniors with their Part A and Part B benefits. In recent years, Medicare Advantage enrollment has grown tremendously due to its exceptional model of coordinated care.

Medicare Advantage patients benefit from a team-based approach that focuses on primary care and prevention.

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| Posted On Feb 02, 2015 | By:

Center for Medicare & Medicaid Services Announces Changes to Meaningful Use

The Center for Medicare & Medicaid Services (CMS) recently announced plans to consider altering their requirements for Meaningful Use, including potentially shortening the reporting period from a full year to a 90-day period. This is part of a CMS initiative to lessen the burden on healthcare providers in response to concerns providers have raised about software implementation and information exchange readiness in 2015. These proposed changes are independent from the new Stage 3 Meaningful Use rules which are expected to be announced in early March but will not take effect until 2017.

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| Posted On Jan 28, 2015 | By:

Atrius Health Joins Health Care Transformation Task Force

Atrius Health announced today that it has joined several of the nation’s largest health care organizations in forming the Health Care Transformation Task Force, a new private-sector alliance dedicated to accelerating the transformation of the U.S. health care system to value-based business and clinical models aligned with improving outcomes and lowering costs. Emily Brower, Executive Director of Accountable Care Programs for Atrius Health, co-leads the ACO workgroup within the task force.

The Task Force has set a goal to move 75 percent of their business into value-based arrangements that focus on the Triple Aim of better health,

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| Posted On Jul 23, 2014 | By:

CMS to Eliminate “Face to Face” Narrative Requirement for Home Health Agencies

In early July, the Centers for Medicaid and Medicare Services (CMS) announced in proposed regulations that it plans to eliminate the controversial requirement under the Affordable Care Act for a “face to face” narrative to be written by a physician in order for home health care services to be covered.

This change in policy is welcome news and we applaud CMS for recognizing that the previous requirement, in place since March of 2011,

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| Posted On Mar 28, 2014 | By:

ICD-10 Delay Not Beneficial to Industry

This week, Congress voted on a bill to delay physician Medicare reimbursement cuts under the sustainable growth rate (SGR) formula for another year. But the bill also included language that will delay implementation of ICD-10, a new diagnostic code set that will be used by all healthcare organizations across the country, by one year to October 1, 2015. This news has been met with mixed reactions from the healthcare industry. While all providers,

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| Posted On Mar 11, 2014 | By:

Atrius Health Seeks Changes on CMS Requirements for Face-to-Face Encounters

Atrius Health recently joined with the Home Care Alliance of Massachusetts, the Massachusetts Medical Society and a growing number of organizations to seek a change to the current requirement under the Affordable Care Act of a face-to-face (f2f) encounter with a physician in order for home health care services to be covered.

These requirements, enacted in March 2011, prohibit a home health care provider from billing Medicare until the provider has obtained signed documentation from a certifying physician indicating that the patient had a face-to-face encounter with that physician 90 days prior to the start of home care or 30 days after the start of home care.

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