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Complex hospital infection data confuses consumers

Patients have difficulty deciphering complex numeric data on healthcare-associated infections used by the Centers for Medicare and Medicaid Services (CMS) to help consumers choose hospitals, according to a new study published online today in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America (SHEA). read more

Mayo Clinic: Medicare Payments Should Recognize Complexity of Patients, Health Care

Mayo Clinic is urging the Centers for Medicare and Medicaid Services to keep the complexity and diversity of health care and patients in mind as it shifts physician payments from volume-based reimbursement to one based on the value of the care provided. Mayo on Tuesday submitted written comments to the agency regarding implementation of a new […]

AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge

In comments submitted to the Centers for Medicare & Medicaid Services (CMS), the nation’s leading data scientists in healthcare urged federal officials to use new payment policies to reassess how providers are required to use informatics tools, and rethink how quality is measured in a digital world. Officials from the American Medical Informatics Association (AMIA)... Read More

HHS Secretary: States like Georgia will eventually see the merits of Medicaid expansion

Sylvia Burwell, head of the Health and Human Services, on open enrollment, Medicaid expansion in Georgia, and the CDC’s continued fight against Ebola.

Why Most Americans Could Soon Be Insured by Only 3 Companies

At a recent Congressional hearing, Dr. Mandy Cohen of the Centers for Medicare & Medicaid Services explained that almost 700,000 Americans have lost their health coverage because the insurance co-ops formed under ObamaCare to foster competition couldn't compete with "big, experienced players" in the insurance marketplace.

Medicare announces premiums, deductibles for 2016

The Centers for Medicare & Medicaid Services on Tuesday announced premiums and deductibles for Original Medicare Part A (for inpatient hospital care) and Part B (outpatient and physician services). As previously reported, because there will no Social Security cost of living increase for 2016, about 70 percent of Part B participants will be “held harmless”

Medicaid Chief Demands "Affordable Prices" From Major Drug Suppliers

In the next phase of the Obama administration's other war on drugs, The Centers for Medicare & Medicaid Services (CMS) has issued a letter to the CEOs of four large drug providers (AbbVie, Gilead, Johnson & Johnson, and Merck), warning...Show More Summary

Rep Questions CMS About Lack of Experience in Obamacare Co-op Program

A representative from the Centers for Medicare & Medicaid Services faced the Ways and Means Committee Tuesday to answer questions about the...

Cost of cheapest Obamacare plans soaring

Last week, the Centers for Medicare and Medicaid Services released the 2016 premium data for the "benchmark" plans in the states using federal exchanges. Those are the second-lowest-cost Silver plans in each area, a benchmark chosen by health care experts using arcane methods involving chicken...

Physician Fee Schedule recognizes importance of Advance Care Planning for older adults

Reflecting recommendations from the American Geriatrics Society (AGS) and 65 other partner organizations, the Centers for Medicare and Medicaid Services (CMS) announced that voluntary Advance Care Planning (ACP)--a comprehensive, ongoing,...Show More Summary

CMS Finalizes 2016 Medicare Payment Rules for Physicians, Hospitals & Other Providers

The Centers for Medicare & Medicaid Services (CMS) issued final rules this week detailing how the agency will pay for services provided to beneficiaries in Medicare by physicians and other health care professionals in 2016 that reflects the administration’s commitment to quality, value, and patient-centered care. Show More Summary

Obama administration warns Texas: Kicking Planned Parenthood out of Medicaid may be illegal

3 weeks agoNews : The Raw Story

The Obama administration has warned state officials that pushing Planned Parenthood out of the state’s Medicaid program could put Texas at odds with federal law. Officials with the federal Centers for Medicare & Medicaid Services contacted the state Medicaid director on Tuesday to give notice...

Transparency in medicine can be misleading, but it’s necessary

Transparency in medicine is a good thing When the Center for Medicare and Medicaid services (CMS) publically disclosed the 2012 CMS reimbursements to physicians, the response was immediately felt throughout the medical community.  As a practicing physician, we were warned of this day.  Can’t say we prepared for it, but we sure did brace for […]

TX: HHSC Raises Concerns About Future of TAPS Access

Oct. 22--It has been just over a year since TAPS Public Transit launched its TAPS Access program to provide non-emergency Medicaid transportation services across North Texas. As the agency looks to recover from recent financial woes, including

Now Texas Is Subpoenaing the Records of Abortion Patients Who Donated Fetal Tissue

It’s all been leading up to this: investigators with Texas’ Health and Human Services Commission are asking for Medicaid patient records from Planned Parenthood clinics in San Antonio, Houston, and Dallas, seeking information on women who made fetal tissue donations. The demand letter was sent the same day state investigators raided four PP clinics. Read more...

Three Days After Cutting Planned Parenthood's Funding, Texas Raids Clinics 

Three days after Texas’ Health & Human Services Commission announced that it would end Medicaid contracts to Planned Parenthood, the Texas Office of Inspector General, a division of the Commission, raided PP clinics across the state. Read more...

Texas Subpoenas Records of Planned Parenthood Patients Who Donated Fetal Tissue

On the heels of Texas stripping Planned Parenthood of Medicaid funding on Monday, the state's Health and Human Services Commission on Wednesday issued a subpoena for the Medicaid records of Planned Parenthood patients who have donated...Show More Summary

Have a question on the healthcare beat? This group of international journalists can help

A few years back, I wrote about how CareOregon, a health plan serving Medicare and Medicaid patients, had worked with area hospitals to use patient safety measures developed by the British National Health Service. At the time, CareOregon’s CEO told me, “The NHS has done some of the best thinking in the world around large scale complex system transformation. It’s...

Texas Defunds Planned Parenthood

Texas will no longer allow taxpayer funds to go to Planned Parenthood. The Office of Inspector General at Texas Health and Human Services announced the defunding after evidence of Medicaid program violations came to light at Planned Parenthood affiliates. The abortion seller will no longer receive taxpayer dollars at the state or local level. “Texas […]

Texas Cuts Planned Parenthood Out of Medicaid Program Over Sting Videos 

Texas’ Health & Human Services Commission announced Monday that it will terminate the Medicaid contracts for all Planned Parenthood clinics in the state. The move, which will definitely be challenged in court, would cut off thousands of poor women from preventive care like Well Woman exams, HIV tests and birth control. Read more...

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