There’s more good news about health care spending today—although, as always, it’s hard to know how good the news really is, or for how long it will last.On Wednesday, actuaries at the Centers for Medicare and Medicaid Services (CMS) released th
By Lawrence Hurley WASHINGTON (Reuters) - The U.S. Supreme Court on Tuesday ruled that private medical providers that deliver residential care services in Idaho cannot sue the state in order to raise Medicaid reimbursement rates to deal with rising medical costs. Show More Summary
By Marlene Kennedy, Courthouse News Service Driving up wages in a bid to improve New York's Medicaid workforce does not run afoul of federal law, the 2nd Circuit ruled Friday.
The Centers for Medicare and Medicaid Services said Friday it has a bottleneck of Freedom of Information Act requests that may take it more than ten years to sort out. The reason? In part, the agency said, Obamacare.
The Incidental Economist’s Austin Frakt is pimping a paper he co-wrote on how Medicaid expansion has lowered demand for Veterans’ Administration health care services: If the ACA’s Medicaid expansion had been implemented in all states, enrollment for VA health coverage, acute inpatient care (days), and outpatient visits would have been 9%, 6%, and 12% lower, [Read more...]
The Centers for Medicare and Medicaid Services (CMS) has put its foot down, this time on the side of patients. Many hospitals charge you more for the same outpatient tests you get in your doctor’s office. Sixty-six different services are being targeted by CMS to leverage the playing field. Are the tests really all that […]
SEC. 3021 of the Affordable Care Act established the Center for Medicare and Medicaid Innovation (CMI) within CMS. The purpose of the CME is to establish demonstration projects (i.e. tests) of innovative payment and service models that improve the quality, coordination and efficiency of services and reduce expenditures. Show More Summary
On Tuesday, the Centers for Medicare & Medicaid Services’ Innovation Center (CMS Innovation Center) launched the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery initiative. The next Generation ACO...Show More Summary
The Centers for Medicare & Medicaid Services (CMS) has announced a special enrollment period for individuals and families who did not have health coverage in 2014 and are subject to the fee or “shared responsibility payment” when they file their 2014 taxes in states which use Federally-facilitated Marketplaces. This special enrollment period will allow those...
Illinois is at a breaking point. The state's dismal economy and shrinking population are compounded by a staggering debt crisis, including $111 billion in pension debt and more than $6 billion in unpaid bills. Gov. Bruce Rauner's proposed 2016 budget, which he unveiled on Feb. Show More Summary
Looking for ways to assist people in your community to use their new healthcare coverage? The Centers for Medicare and Medicaid Services’ (CMS) Coverage to Care initiative offers several resources, including videos, to help people with new health care coverage understand their benefits and connect to primary care and the preventive services that are right...
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
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 say the cuts in services proposed by Rauner will cost the state more money in the long run. [ more › ]
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.
Centers for Medicare & Medicaid Services encourages concordance to NCCN Guidelines for Medicare patients in order to achieve better care, smarter spending, and healthier people.
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.
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.
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...
President Obama’s target is a savings of $399 billion over 10 years from Medicare, Medicaid and other Health and Human Services programs.