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The April 3 issue of  Part B News includes an article on getting value out of online and telephone codes Medicare won't pay for. One of our sources had some extra thoughts on how you can use online and telephone encounters to offer a care advantage that can also lead to increased reimbursement.
A proposed HHS/CMS rule on governance of state and federal Obamacare exchange health plans offers payers some breaks in a contentious insurance environment.              
Expect some wrinkles to your Medicare Advantage billing process if you operate in one of the seven states that's on track to launch a "value-based" insurance model next year.
Providers working in more than a dozen markets are now eligible to apply for an advanced primary care model that will dole out up to $100 per patient, per month in upfront payments.

Photo by Grant HuangNational spending on health care will rise faster than the country's gross domestic product (GDP) over the next 10 years, driven by key provisions in the Affordable Care Act, according to a new CMS report that projects spending statistics through 2020. The result will be "significantly" increased demand for prescription drugs and physician and clinical services, the report says. Healthcare spending is projected to grow at an average rate of 5.8% per year over the next decade, while GDP is projected to grow at just 4.7% per year. The result is that healthcare will grow from being 17.6% of GDP in 2010 to 19.8% of GDP in 2020, says Sean Keehan, an economist in the Office of the Actuary at CMS.


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