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UT Southwestern Accountable Care Network: Medicare Shared Savings Program Performance Year 2015 Quality and Financial Results

The Centers for Medicare & Medicaid Services (CMS) has announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals and health...Show More Summary

Theranos fights back

Theranos is appealing the government sanctions that have barred its CEO Elizabeth Holmes from running a blood-testing lab for two years. The sanctions from Centers for Medicare and Medicaid Services, which has oversight over labs like Theranos', came after the company failed its California lab inspection. Show More Summary

Researchers question process for reviewing coverage of 'off label' cancer drug use

Physician-researchers have raised concerns that there are inconsistencies between the five reference guides, or compendia, that the Centers for Medicare and Medicaid Services uses to determine which drugs it will reimburse for off-label uses in cancer care.

AMGA Urges CMS to Release CPC+ Payment Formula

Alexandria, VA -AMGA today sent a letter to the Centers for Medicare & Medicaid Services (CMS) requesting the agency publish its "methodology paper" that will describe how the Comprehensive Primary Care + (CPC+) prepaid and repayment amounts will be calculated under the demonstration.

Healthcare companies may be tricking people into Obamacare (AET)

Unnamed healthcare providers may be steering patients towards Obamacare instead of Medicare and Medicaid, according to a release from the Centers for Medicare and Medicaid Services (CMS). CMS, the government organization in charge of...Show More Summary

What Are Your Options if Medicaid Goes Broke

Americans are living longer than ever. With that longer life span comes increasing reliance on long-term healthcare services. And costs associated with in-home care services, nursing homes, and other residential facilities are on the...Show More Summary

Patient and Physician Groups Call on Medicare to Cover Virtual Colonoscopy

Colorectal cancer patient advocacy groups, the American College of Radiology (ACR) and associated medical associations call on the Centers for Medicare & Medicaid Services (CMS) to cover seniors for virtual colonoscopy (known as CT colonography).

Unexpected cost increase could complicate future Medicaid expansion

In a recent report to Congress, the Centers for Medicare and Medicaid Services said the cost of expansion was $6,366 per person for 2015, about 49 percent higher than previously estimated. Continue reading ? The post Unexpected cost increase could complicate future Medicaid expansion appeared first on PBS NewsHour.

White House To 'Explore Options' To Improve Obamacare Risk Pools

The Obama administration said it's "exploring options to modify the ACA’s permanent risk adjustment program to better adjust for the highest-cost enrollees and their actuarial risk," the Centers for Medicare & Medicaid Services disclosed Thursday

Rush Hospitals Receive Four Stars in New Federal Quality Rating

Rush University Medical Center and Rush Oak Park Hospital both received four stars in a new quality rating system for hospitals nationwide that the federal Centers for Medicare and Medicaid Services announced on Wednesday. CMS, as the centers are known, ranked Rush University Medical Center higher than any other academic medical center in the Chicago area.

Tim Kaine’s Being Logical About Abortion, If Not Totally Consistent

Republicans are crowing over Tim Kaine's "flip-flop" on the Hyde Amendment banning the use of Medicaid funds for abortion services. But if you're going to support legal abortion, why draw the line at letting poor women have them?

Hillary Clinton, Tim Kaine Hold Different Positions on Abortion Funding

Hillary Clinton and running mate Tim Kaine disagree on one key abortion issue. She opposes the Hyde amendment, which has for decades barred federal funding for abortion services, particularly in Medicaid. He supports it.

How Specialty Pharmacy Is Penetrating Buy-and-Bill Oncology Channels

The distribution channel for provider-administered oncology drugs is undergoing significant change—notwithstanding the Centers for Medicare & Medicaid Services’ (CMS) misguided and controversial Part B Drug Payment Model. As you will...Show More Summary

Office of Minority Health Releases Report on LGB Older Adults

This week, the Centers for Medicare and Medicaid Services’ Office of Minority Health released its first ever report comparing the health of LGB and heterosexual older adults. The report used data from the 2013-2014 National Health Interview...Show More Summary

Latest CMS Forecast Shows Big Drug Spending Growth Through 2025

Last week, the Centers for Medicare & Medicaid Services (CMS) released its latest forecasts for national health expenditures. See the Health Affairs article: National Health Expenditure Projections, 2015–25: Economy, Prices, And Aging Expected To Shape Spending And Enrollment. Show More Summary

The Washington Post Tells Us About Painful Choices on Health Care Spending

The Washington Post reported on new projections on national health care spending by the Centers for Medicare and Medicaid Services (CMS). The projections are that health care costs will outpace the growth of the economy, rising from the current 17 percent to 20 percent by 2025. Show More Summary

Amga Encouraged by CMS' Andy Slavitt's Testimony Before the Senate Finance Committ

AMGA today released the following statement in response to the testimony of Andy Slavitt, acting director of the Centers for Medicare and Medicaid Services (CMS), before the Senate Finance Committee on the implementation of Medicare Access and CHIP Reauthorization Act (MACRA).

Aging, Not Obamacare To Fuel Next Decade's Medical Spending

The 5.8% growth in health spending “is expected to be influenced by changes in economic growth, faster growth in medical prices, and population aging,” from 2015 to 2015, according to the Centers for Medicare & Medicaid Services

Amga Releases Initial Statement on the Proposed CY 2017 Physician Fee Schedule

AMGA today released a statement on the Centers for Medicare & Medicaid Services (CMS) proposed CY 2017 Physician Fee Schedule.

Theranos founder banned from running lab for two years

Sanctions handed down by Centers for Medicare & Medicaid Services.        

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