Medicare Contracting Reform

Author : Kathleen M. King
Publisher : DIANE Publishing
Page : 68 pages
File Size : 54,8 Mb
Release : 2010-08
Category : Medical
ISBN : 9781437932874

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Medicare Contracting Reform by Kathleen M. King Pdf

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 significantly reformed contracting for payment of Medicare's $310 billion per year in fee-for-service claims. The Centers for Medicare and Medicaid Services (CMS) is transitioning claims administration to 19 new entities known as Medicare Administrative Contractors (MAC) and plans to complete the process ahead of Oct. 1, 2011, the date required by law. This report examined: (1) how CMS has implemented Medicare contracting reform; (2) how CMS assessed the performance of the MACs and what the results of its assessments have been; and (3) what CMS's costs and savings have been for Medicare contracting reform. Charts and tables.

Author : United States. Government Accountability Office
Publisher : DIANE Publishing
Page : 69 pages
File Size : 54,7 Mb
Release : 2005
Category : Health care reform
ISBN : 9781428933606

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Medicare Contracting Reform by United States. Government Accountability Office Pdf

Author : United States. Congress. House. Committee on Ways and Means
Publisher : Unknown
Page : 126 pages
File Size : 52,9 Mb
Release : 2003
Category : Health services administration
ISBN : PURD:32754077065302

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Medicare Regulatory and Contracting Reform Act of 2003 by United States. Congress. House. Committee on Ways and Means Pdf

Author : Anonim
Publisher : Unknown
Page : 128 pages
File Size : 45,8 Mb
Release : 2001
Category : Electronic
ISBN : OCLC:1229370210

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Medicare Contracting Reform Opportunities and Challenges in Contracting for Claims Administration Services by Anonim Pdf

Author : United States Accounting Office (GAO)
Publisher : Createspace Independent Publishing Platform
Page : 28 pages
File Size : 45,6 Mb
Release : 2018-06-04
Category : Electronic
ISBN : 1720655367

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Medicare Contracting Reform by United States Accounting Office (GAO) Pdf

Medicare Contracting Reform: Opportunities and Challenges in Contracting for Claims Administration Services

Author : United States. Congress. House. Committee on Ways and Means
Publisher : Unknown
Page : 88 pages
File Size : 55,7 Mb
Release : 2001
Category : Health services administration
ISBN : PURD:32754070365212

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Medicare Regulatory and Contracting Reform Act of 2001 by United States. Congress. House. Committee on Ways and Means Pdf

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
Page : 70 pages
File Size : 43,5 Mb
Release : 2018-01-30
Category : Electronic
ISBN : 1984382918

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Gao-05-873 Medicare Contracting Reform by United States Government Accountability Office Pdf

GAO-05-873 Medicare Contracting Reform: CMS's Plan Has Gaps and Its Anticipated Savings Are Uncertain

Author : United States. Government Accountability Office
Publisher : Unknown
Page : 63 pages
File Size : 41,7 Mb
Release : 2005
Category : Medicare
ISBN : LCCN:2005410793

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Medicare Contracting Reform by United States. Government Accountability Office Pdf

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher : Unknown
Page : 120 pages
File Size : 48,6 Mb
Release : 2003
Category : Business & Economics
ISBN : STANFORD:36105063384098

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Medicare Regulatory and Contracting Reform by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher : Unknown
Page : 108 pages
File Size : 55,8 Mb
Release : 2001
Category : Business & Economics
ISBN : PSU:000045958564

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H.R. 2768, the "Medicare Regulatory and Contracting Reform Act of 2001" by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Pdf

Author : United States. Congress. House. Committee on Ways and Means
Publisher : Unknown
Page : 110 pages
File Size : 55,6 Mb
Release : 2002
Category : Electronic
ISBN : MINN:31951P007239693

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107-1 Hearing: H.R. 2768, The "Medicare Regulatory and Contracting Reform Act of 2001", Serial No. 107-45, September 25, 2001, * by United States. Congress. House. Committee on Ways and Means Pdf

Author : United States Accounting Office (GAO)
Publisher : Createspace Independent Publishing Platform
Page : 26 pages
File Size : 50,5 Mb
Release : 2018-06-10
Category : Electronic
ISBN : 1720657785

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Medicare by United States Accounting Office (GAO) Pdf

Medicare: Comments on HHS' Claims Administration Contracting Reform Proposal

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
Page : 44 pages
File Size : 50,8 Mb
Release : 2017-10-05
Category : Electronic
ISBN : 1977943128

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Medicare Administrative Contractors by United States Government Accountability Office Pdf

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) required CMS to select claims administrative contractors through a competitive process and to do so in accordance with the FAR. In fiscal year 2013, MACs processed almost 1.2 billion claims totaling more than $363 billion in Medicare payments. GAO was asked to assess CMS's implementation of contracting reform and examine whether CMS could do more to increase MACs' effectiveness. This report evaluates (1) differences in responsibilities among MACs and the costs associated with these responsibilities, including any changes since the implementation of contracting reform; (2) lessons learned, if any, since CMS implemented contracting reform that could be used to increase MAC efficiency and effectiveness; and (3) alternative contracting approaches that CMS could use to enhance contractor performance. To do this work, GAO reviewed the FAR and CMS documents-including contracting documentation and MAC cost reports-and interviewed officials from CMS and selected MACs. GAO also reviewed the FAR to identify alternative contracting approaches.

Author : United States. Congress. House. Committee on Energy and Commerce
Publisher : Unknown
Page : 128 pages
File Size : 44,5 Mb
Release : 2001
Category : Health services administration
ISBN : STANFORD:36105050231237

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Medicare Regulatory, Appeals, Contracting, and Education Reform Act of 2001 by United States. Congress. House. Committee on Energy and Commerce Pdf

Author : Leslie G. Aronovitz
Publisher : DIANE Publishing
Page : 74 pages
File Size : 43,8 Mb
Release : 2005-11
Category : Electronic
ISBN : 1422302849

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Medicare Contracting Reform by Leslie G. Aronovitz Pdf

The Medicare Prescription Drug, Improvement, & Modernization Act of 2003 (MMA) significantly reformed contracting for the administration of claims for Part A, Medicare's hospital insurance, & Part B, which covers outpatient services such as physicians' care. The MMA required the Centers for Medicare & Medicaid Services to conduct open competition for its claims administration contracts & to transfer the work to Medicare administration contractors by Oct. 2011. This report reviewed the extent to which: (1) the plan provides an appropriate framework for implementing Medicare contracting reform; & (2) the plan's cost & savings estimates are sound enough to support decisions on implementation. Charts & tables.