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Virtual dermatology care increases access to specialists for Medicaid enrollees

Offering virtual dermatology care to Medicaid recipients can sharply increase use of dermatology services, offering one potential way to increase access to medical specialists who are in short supply, according to a new RAND Corporation study. read more

AMGA Releases Initial Statement on Proposed MACRA Rule

AMGA today released an initial statement on the Centers for Medicare and Medicaid Services (CMS) proposed rule for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and acknowledged the efforts CMS has dedicated toward implementing the new payment structures required by the law.

Administration Says New Rules For Medicaid Plans Will Improve Service For Enrollees

last weekHealth : The Checkup

The Obama administration tightened rules Monday for private insurance plans that administer most Medicaid benefits for the poor, limiting profits, easing enrollment and requiring minimum levels of par...

AMGA Comments on CMS Risk Adjustment Discussion Paper

AMGA on April 22 submitted comments to the Centers for Medicare and Medicaid Services (CMS) on its discussion paper concerning proposals to modify the risk adjustment methodology for individual and small group health insurance plans offered on state health insurance marketplaces that were created under the Affordable Care Act (ACA). Show More Summary

Blood Testing Startup Theranos Is Now Under Criminal Investigation, SEC Probe

While they also try to appease the Centers for Medicare and Medicaid Services. [ more › ]

Regulators Want to Ban Theranos CEO Elizabeth Holmes for Two Years

The Centers for Medicare and Medicaid Services also wants to ban Sunny Balwani, the president of the blood-testing startup.

CMS Launches Comprehensive Primary Care Plus Model

On Monday, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to transform and improve how primary care is delivered and paid. The initiative called the Comprehensive Primary Care Plus (CPC+) model will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than... Read More

Nursing Home Quality Ratings from the Centers for Medicare and Medicaid Services

Did you know that the Centers for Medicare and Medicaid Services maintains a website that is designed to help families find the best and closest nursing home and senior care facilities? The site has a five star rating system to indicate quality.The rankings range from much below average to much above average. Show More Summary

CMS finalizes 2017 payment and policy updates for Medicare Health and Drug Plans

The Centers for Medicare & Medicaid Services (CMS) today released the final Medicare Advantage and Part D Prescription Drug Program changes for 2017 that seek to provide stable payments to plans, and make improvements to the program for plans that provide high-quality care to the most vulnerable enrollees. Show More Summary

Personalized ratings app may improve patient’s choice of nursing home

A new app can improve a patient’s choice of a nursing home. This is important, because when rating quality measures for nursing homes, patients and experts at the Centers for Medicare and Medicaid Services (CMS) usually don’t agree on what is best, leading researchers to conclude that patients may benefit from a more personalized approach to choosing a nursing home.

Consumers Reveal Obstacles to Using Nursing Home Quality Ratings

A study of people who placed a relative or friend in a nursing home found that few people were aware of the Nursing Home Compare website, published online by the Centers for Medicare and Medicaid Services to help families find the right facility. Many who viewed the website also did not trust it. The authors suggest ways to overcome some of NHC's problems.

State seeks to bend the rules to allow Medicaid coverage for inmates

When a person enrolled in Medicaid goes to jail, their benefits under that public health insurance plan are suspended for most services, and many people end up falling through the cracks of the... To view the full story, click the title link.

Shaping Health Policy for Millions, and Still Treating Some on the Side

Dr. Patrick H. Conway, chief medical officer at the Centers for Medicare and Medicaid Services, keeps one foot on the front lines as he works to improve the health system.

Expedited Medicaid Access Increases Use of Mental Health Services, But Does Not Reduce Recidivism for People Recently Released from Prison

Providing expedited access to Medicaid to people with serious mental illness as they are released from prison increases their use of mental health and general medical services, but does not reduce criminal recidivism, according to new research published online March 15th in Psychiatric Services in Advance.

Endocrine Society Applauds Proposed Medicare Coverage of National Diabetes Prevention Program

The Secretary of the Department Health and Human Services (HHS), Sylvia Burwell, announced today that the Centers for Medicare and Medicaid Services (CMS) plans to provide coverage for the National Diabetes Prevention Program (NDPP)....Show More Summary

ACA's Medicaid Expansion Created Jobs, Saved State Dollars

States that expanded Medicaid under the Affordable Care Act saw more job growth, lower health inflation and spent less on social and health services unneeded once more residents had medical coverage, a new analysis shows. A new report issued by the Robert Wood Johnson Foundation said states that opted to expand [...]

Three Ways State Medicaid Programs Can Improve Provider Networks for Beneficiaries

State Medicaid programs have evolved tremendously since the implementation of the Affordable Care Act (ACA). Their evolution will continue as the Centers for Medicare & Medicaid Services (CMS) works to improve on a program that has grown extensively and is still working to meet the overarching goals of the ACA. Show More Summary

Queens nonprofit head charged with embezzling Medicaid funds

last monthNews : NY Daily News

The executive director of Tender Care Human Services was charged with embezzling Medicaid funds to hire housekeepers.

INTERACT Quality Improvement Program Contributes to Positive Preliminary Results on CMS Initiative to Reduce Nursing Home Hospitalizations

Components of Interventions to Reduce Acute Care Transfers or INTERACT(tm), designed by researchers at FAU, were implemented in phase I of The Centers for Medicare & Medicaid Services' (CMS) Initiative to Reduce Avoidable Hospitalizations among Nursing Home Residents.

Auditor: Obama Administration was ‘Passive’ in Dealing with ObamaCare Fraud

Well, not surprising: The Centers for Medicare and Medicaid Services was “passive” in its approach to identifying and preventing fraud in administering Obamacare, according to testimony from the Government Accountability Office. According...Show More Summary

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