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CMS to Part D Preferred Pharmacy Networks: We’ll Be Watching You

This past Friday, the Centers for Medicaid & Medicare Services (CMS) released its thoroughly-titled Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter. Show More Summary

GA Primary Care Docs Losing ACA Medicaid Payment Boost, But State Could Step In

Prior to 2013, Medicaid paid doctors on average nationwide only 59% of what Medicare would pay for primary care services, which itself pays less than what doctors typically bring in from private insurers. With the goal of increasingShow More Summary

Critics Blast Rauner's Proposed Medicaid Cuts

Critics say the cuts in services proposed by Rauner will cost the state more money in the long run. [ more › ]

Critics: Medicaid services that Rauner wants cut actually save money

Gov. Bruce Rauner's proposed $1.47 billion in Medicaid cuts includes reductions in dental services, mental health care and other coverage. But some legislators and patient advocates say the targeted services don't just help keep people healthy — they also save the state money.

CMS Oncology Care Model Names NCCN Guidelines as High-Quality Care and Evidence-Based Recommendations

Centers for Medicare & Medicaid Services encourages concordance to NCCN Guidelines for Medicare patients in order to achieve better care, smarter spending, and healthier people.

Statement from AMGA Regarding Its Comments on the Medicare Shared Savings Program Proposed Rule

On Friday, the American Medical Group Association (AMGA) drafted and submitted a comment letter to the Centers for Medicare and Medicaid Services (CMS) regarding the proposed rule on refinements to the current framework of the Medicare Shared Savings Program.

ASTRO Applauds Medicare's Final Decision to Cover Annual, Low-Dose CT Screening for High-Risk Lung Cancer Patients Ages 55 to 77

The American Society for Radiation Oncology (ASTRO) commends the February 5, 2015, decision by the Centers for Medicare and Medicaid Services (CMS) to provide coverage for annual lung cancer screening via low-dose CT screening for those at highest-risk for lung cancer.

Medicare Proposes Coverage for Annual HIV Test, Invites Public Comment

  The Centers for Medicare and Medicaid Services (CMS) has proposed expanding coverage for HIV screening for Medicare beneficiaries. In a Proposed Decision Memo dated January 29, 2015, the agency states “CMS proposes that the evidence is adequate to conclude that screening for HIV infection for all individuals between the ages of 15 and 65...

Budget Plan Sees Savings In Changes To Medicare

3 weeks agoHealth : NYT: Health

President Obama’s target is a savings of $399 billion over 10 years from Medicare, Medicaid and other Health and Human Services programs.

Have a Bite of Humble Pie Before Heading to the Office

It's hard to hear the news about someone like Marilyn Tavenner stepping down and not think about the expectations we put on our leaders. In Tavenner's case, when she became acting head of the Centers for Medicare and Medicaid Services in 2011, politicians expected her to know the field of health care inside out. Show More Summary

Statement from AMGA Regarding CMS Intention to Modify Meaningful Use

Today, the Centers for Medicare & Medicaid Services (CMS) announced that it intends to engage in rulemaking this spring to help ensure providers continue to meet meaningful use requirements.

724 Hospitals Have Lost Medicare Funding for Avoidable Complications: Is Your Local Hospital One Of Them?

Nationally, 724 hospitals have had their Medicare funding reduced after the Centers for Medicare and Medicaid Services found that each had high rates of potentially avoidable “hospital acquired conditions,” including falls, bed sores and certain infections, including ventilator acquired pneumonia and catheter-associated urinary tract infections. Show More Summary

In 2015, 8 of 10 Seniors Choose Preferred Pharmacy Networks in Medicare (Plus: Which Plans Won)

The Centers for Medicare & Medicaid Services (CMS) just released the first batch of 2015 enrollment data for Medicare Part D Prescription Drug Plans (PDPs). These almost-final numbers provide our first look at the winning and losingShow More Summary

Official Who Led Medicare Through Insurance Shakeup Is Resigning

last monthHealth : NYT: Health

Marilyn B. Tavenner, administrator of the federal Centers for Medicare and Medicaid Services, helped oversee the rollout of changes in the health care system.

Top Obamacare Official Marilyn Tavenner Resigns

The head of Medicare and Medicaid, at the center of recent missteps, will leave her post at the end of February. Marilyn Tavenner, the head of the federal Centers for Medicare and Medicaid Services, announced her resignation in an email to employees on Friday, The New York Times reported. Read Full Story

"Some Folks Were Lying?" Medicaid Chief Tavenner 'Steps Down' After Obamacare "Error"

Marilyn Tavenner, head of the U.S. Centers for Medicare and Medicaid Services, plans to step down at the end of February, she told her staff in an e-mail. As Bloomberg reports, Tavenner didn’t say why she was leaving. In November, she acknowledged that her agency had made a mistake in its calculation of the number of people enrolled under Obamacare. Show More Summary

Manhattan Clinic That Treated Joan Rivers Will Lose Federal Funding

last monthHealth : NYT: Health

Yorkville Endoscopy has failed to correct the deficiencies implicated in Ms. Rivers’s death, according to a letter from the Centers for Medicare and Medicaid Services.

The cliff fades away

I’m a sucker for stupid arguments as the Apothecary at Forbes, a “thought” leader on conservative policy wonkery fucks up yet again.  The writer wants to block grant Medicaid and tie it into other social service supports.  He argues that there is an income cliff between $20,000 and $30,000 and fucks up reality fairly well [Read more...] This space reserved for your ad.

Clinic where Joan Rivers stopped breathing has Medicare coverage pulled

2 months agoSports / Baseball : Dodgers Now

The Centers for Medicare & Medicaid Services has terminated its Medicare agreement with Yorkville Endoscopy, a New York City clinic that came under scrutiny following Joan Rivers' death after an outpatient procedure.

Inaccessible Medicaid Providers Are Another Sign of Our Failing Safety Net

According to a report from the U.S. Department of Health and Human Services, more than half of surveyed Medicaid providers are, in reality, completely inaccessible. This presents an obvious problem for huge numbers of Americans. Image: Shutterstock The post Inaccessible Medicaid Providers Are Another Sign of Our Failing Safety Net appeared first on RH Reality Check.

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