Connect Archives

January 2017

Monday, January 09, 2017

MACRA UPDATE

Like it or not, MACRA is the law, and the final implementation rule for the Quality Payment Program (all 2,398 pages of it) is in place. The program starts on January 01, 2017, and the results will impact reimbursement for Medicare beginning in 2019. It hasn’t been delayed; it essentially hasn’t been changed; the only reprieve is a fourth pathway that is referred to as “Test” status, and it only applies for the first performance year, which is 2017.

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OIG RELEASES 2017 WORK PLAN

The Department of Health and Human Services Office of Inspector General (OIG) released its FY 2017 Work Plan, which describes OIG audits evaluations, and certain legal and investigative initiatives that are new or ongoing in FY 2017. According to the work plan, in FY 2017 and beyond, OIG will focus on Medicare payments for Clinical Diagnostic Laboratory Tests, Transitional Care Management and Chronic Care Management. Additionally, OIG focuses its oversight efforts on “identifying and offering recommendations to reduce improper payments, prevent and deter fraud, and foster economical policies.”

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BOARD OF DIRECTORS ELECTION RESULTS

The Annual HFNI Shareholder’s meeting was held on Monday, December 19, 2016 at 6 p.m.

The Shareholders have elected to:
1) Retain Warren Averett O’Sullivan Creel as HFNI’s external auditors.

2) Approve all proposed changes to the By-Laws, Articles of Incorporation, Stock Restriction and Shareholder Agreement.

3) Elected to the Board were:
Randall Reese, M.D. – PCP
William Zimmern, M.D. – PCP
Sid Clements, M.D. – RCP
Warren Herron, M.D. – RCP

EARN BONUS PAYMENTS FOR STARS ADHERENCE MEASURES

WellCare is offering a bonus incentive to providers who use RxEffect® to identify and take action for Star Ratings medication therapy areas: Blood Pressure, Cholesterol and Diabetes.

Earn $50 per qualifying member therapy between October 1, 2016 and December 31, 2017. Bonus eligibility is dynamic and will be updated each business day.

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HFNI PROFESSIONAL LIABLILITY INSURANCE PROGRAM. REAL SAVINGS FOR MEMBERS.

Health First Network, Inc. (HFNI) has formed the HFNI Professional Liability Insurance Program, a program designed to enhance the professional liability coverage of our members with available discounts of up to 50% for qualified members.

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HFNI WORKERS COMPENSATION INSURANCE PROGRAM

Did you receive money back on your Workers’ Comp Premium last year? Now you are eligible through the Health First Network Workers’ Compensation Program.

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NEW PHYSICIANS JOINING THE NETWORK

Health First Network would like to welcome the most recent physicians to join the Network:
Balraj Singh, M.D. - Cardiology/Cardiovascular Disease
Celine Gisbert, M.D. - Family Practice
Yolanda Jones, M.D. - Hospitalist
Veronica Carden, M.D. - Radiation Oncology
Jessica Tate, M.D. - Pediatrics
David Northern, M.D. - General Surgery
Michael Herron, M.D. - Radiology
** To determine which health plans each physician is participating in check the “Find A Doctor” section on the HFNI website.

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