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Medicare Administrative Contractors: CMS Should Consider Whether Alternative Approaches Could Enhance Contactor Performance
Medicare Administrative Contractors: CMS Should Consider Whether Alternative Approaches Could Enhance Contactor Performance
 

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By Kathleen M. King (au)
Year: 2015
Pages: 44
Binding Paperback
ISBN 978-1-4578-6896-2

Product Code: 1457868962

Description
 
The Medicare Prescription Drug, Improvement, and Modernization Act of 2001 (MMA) required the Centers for Medicare & Medicaid Services (CMS) to select claims administrative contractors through a competitive process and to do so in accordance with Federal Acquisition Regulation (FAR). In FY 2014, Medicare Administrative Contractors (MACs) processed almost 1.2 billion claims totaling more than $363 in Medicare payments. 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. Tables. This is a print on demand report.

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