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Multiple sources report that CMS’ Medicare Part B Drug Payment Model is dead.

Earlier this week, we noticed that the measures specification file on the CMS Quality Payment Program website was missing some specifications for claims-based measures -- for example, measure 1 (Diabetes: Hemoglobin A1c (HbA1c) Poor Control [>9%]). We
Investments in health IT and financial risk-sharing are two big obstacles standing in the way of many small practices getting on board with value-based payment models, states a new report from the Government Accountability Office (GAO).

In a briefing sponsored by Democratic senators, health policy wonks said that if the Trump administration repeals Obamacare as quickly as promised, the number of uninsured Americans will double by 2019 and in some ways, American health care would be worse that before the Affordable Care Act (ACA) passed.

Usually CMS releases CCI edits and the medically unlikely edits (MUEs) about a month before they go into effect. A week or so later, CMS releases the files that list changes to the edit sets: additions, revisions and deletions to both edit sets. Not this time.

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