The Centers for Medicare & Medicaid Services (CMS) has just released the Average Sales Prices (ASP) reimbursement data for the fourth quarter of 2017. You can download the drug pricing files here. Below, I use these data to explore the reimbursement and payer dynamics behind the relatively slow adoption of Inflectra, the first biosimilar of Remicade. Show More Summary
The Arkansas Department of Human Services says personal and health information of more than 26,000 Medicaid recipients has been breached. DHS said Friday that the information includes Social Security numbers … Click to Continue »
The American Association of Diabetes Educators (AADE) filed public comments recently on a proposal by the Centers for Medicare & Medicaid Services (CMS) to provide education on how to prevent or delay the onset of type 2 diabetes via the Medicare Diabetes Prevention Program (MDPP). Show More Summary
(American College of Physicians) ACP today provided more than a dozen recommendations on the proposed rule for the calendar year 2018 Medicare Physician Fee Schedule to the Centers for Medicare and Medicaid Services (CMS). ACP's recommendations...Show More Summary
In a terrible twist of fate, the very day that the Centers for Medicare & Medicaid Services (CMS) Hospice Compare website went live, I found myself in a pulmonologist’s office with my parents, taking in the news of my mother’s advanced cancer and malignant pleural effusion. The shock of it, and the uncanny timing are […]
A coalition of more than 100 nonprofit community service organizations is urging New York's congressional delegation to reject proposed budget cuts to food stamps, Medicaid and other social programs. The … Click to Continue »
The Centers for Medicare and Medicaid Services announced Thursday that they will spend $10 million on advertising for the upcoming November Obamacare enrollment period. This is 90 percent less than the $100 million the Obama administration spent on advertising enrollment last year. “A healthcare system that has caused premiums to double and left nearly half […]
WASHINGTON (Reuters) - The U.S. Centers for Medicare and Medicaid Services said on Thursday it plans to spend $10 million on advertising for the upcoming Obamacare open enrollment period that starts in November, a sharp cut from the $100 million spent last year.
Cheyenne Regional Medical Center officials say the hospital has regained its standing with the Centers for Medicare and Medicaid Services after losing its deemed status over a complaint. The hospital … Click to Continue »
The American Association of Neuromuscular & Electrodiagnostic Medicine submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on August 21 regarding its proposed rule changes on Medicare payment and delivery reform enacted by MACRA (Medicare Access and CHIP Reauthorization Act).
Iowa submitted a Section 1332 State Innovation Waiver to the Center for Medicare and Medicaid Services (CMS) yesterday. It is the biggest and most complex waiver yet to be submitted. It is an invitation to long and costly lawsuits because of how it uses CSR funding. Other states have submitted reinsurance waivers where they are […]
In an era of increasing transparency in medicine, the Centers for Medicare & Medicaid Services (CMS) has been publishing data annually on payments to individual physicians since 2014. The database, officially called the Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File, has been a window (albeit a cracked and opaque […]
CNN just published an in-depth, horrifying investigative story on the state of Florida's 2014-15 to systematically remove sick and disabled children from "a highly respected program called Children's Medical Services, or CMS, a part of Florida Medicaid" and onto private plans with companies who happen to be big donors to the state Republican party. Show More Summary
Medicare launched a website aimed at helping families choose a hospice — but experts say it doesn’t help very much. The Centers for Medicare & Medicaid Services this week released Hospice Compare, a c...
The state of Illinois has cut in half the number of insurers in its Medicaid managed care program. The Illinois Department of Healthcare and Family Services announced Friday it has … Click to Continue »
Authorities say a woman who provided house care and other aid for an ailing man overbilled Medicaid for services she never provided. The Lincoln Journal Star reports that 55-year-old Debra … Click to Continue »
North Carolina's biggest health insurer has picked a top executive with the federal Centers for Medicare and Medicaid Services to become its next CEO. Blue Cross and Blue Shield of … Click to Continue »
In 2016, the Centers for Medicare and Medicaid Services barred nursing homes from forcing their residents into accepting binding arbitration agreements, insisting that nursing homes that engaged in neglect, physical or sexual abuse should...Show More Summary
(RTI International) A new study by RTI International found that low Medicaid payment rates for services in assisted living and similar settings discourage residential care providers from serving Medicaid beneficiaries, which limits their access to community-based residential care.
A new study by RTI International found that low Medicaid payment rates for services in assisted living and similar settings discourage residential care providers from serving Medicaid beneficiaries, which limits their access to community-based residential care.