Tag: Payments
MedPAC report recommends increased pay for physicians, increased oversight of Medicare Advantage
March 16, 2026HME News Staff
WASHINGTON – The Medicare Payment Advisory Committee (MedPAC) recommends updating payments above current law for physicians and other health care professional services. It also recommends eliminating the update for outpatient dialysis services and hospice services; and reducing payments for skilled nursing facilities, home health agencies and inpatient rehabilitation facilities.
In its March 2026 Report to the Congress: Medicare Payment Policy, MedPAC also recommends updating payments at...
CMS outlines policies to improve payment accuracy, sustainability for Medicare Advantage
January 27, 2026HME News Staff
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) has proposed policies that are projected to result in a net average year-over-year payment increase of 0.09%, or more than $700 million, in Medicare Advantage payments to plans in calendar year 2027.
This expected increase includes consideration of the various elements that impact MA payments, such as growth rates of underlying costs, 2026 Star Ratings for 2027 quality bonus payments,...
OIG to CMS: Adjust payments for orthotic devices
November 5, 2019HME News Staff
WASHINGTON - Medicare allowable amounts for certain orthotic devices are not comparable with payments made by select non-Medicare payers, according to the Office of Inspector General.For calendar years 2012-15, the OIG estimated that Medicare and beneficiaries paid $341.7 million more than select non-Medicare payers on 142 HCPCS codes and $4.2 million less than select non-Medicare payers on 19 codes. Of the net $337.5 million difference, the agency estimated that Medicare paid $270 million and beneficiaries...
Brightree helps providers get paid
February 28, 2017HME News Staff
ATLANTA - Brightree has released an app that gives HME providers a quick way to process patient payments through smartphones or tablets anywhere in real time. The Brightree Patient Collections GetPaidHME app, which runs on Apple and Android devices, allows users to scan a sales order directly from a delivery ticket. From there, the patient is added to the delivery queue, and sales order data, including recipient and payment information, is integrated into the app, eliminating the need for paper invoices....
Feds tweak Medicare Advantage pricing for 2017
April 5, 2016HME News Staff
WASHINGTON - Payments to insurers that offer Medicare Advantage plans won't be as high as initially expected. Medicare Advantage payments will increase 0.85%, on average, for 2017, and insurers will likely see overall revenue increases of 3.05%, according to news reports. Earlier this year, CMS had indicated that payments would increase 1.35% and that insurers would see overall revenue increases of 3.55%. As part of a final rule published this week, the Obama administration has also proposed several...
Feds tweak Medicare Advantage pricing for 2017
April 5, 2016HME News Staff
WASHINGTON - Payments to insurers that offer Medicare Advantage plans won't be as high as initially expected. Medicare Advantage payments will increase 0.85%, on average, for 2017, and insurers will likely see overall revenue increases of 3.05%, according to news reports. Earlier this year, CMS had indicated that payments would increase 1.35% and that insurers would see overall revenue increases of 3.55%. As part of a final rule published this week, the Obama administration has also proposed several...