Medicare program; reduction in the number of providers dealing directly with HCFA. Final rule.
These regulations modify current Medicare rules concerning the option that allows Medicare providers to elect to receive payment directly from us, rather than through an intermediary, for covered services furnished to beneficiaries. The regulations also give us the authority to make other arrangements to service health care prepayment plans (health maintenance organizations (HMOs) and group practice prepayment plans (GPPPs)) that are presently dealing directly with us. The regulations clarify under what circumstances we may contract out for the purpose of making payments to providers. In addition, although this is a final rule, we are requesting public comment on the impact analysis.
D014487:Centers for Medicare and Medicaid Services, U.S.; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence*; D014481:United States