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American College of Rheumatology responds to CMS Innovation Center request for information

(American College of Rheumatology) The American College of Rheumatology (ACR) urged the Centers for Medicare and Medicaid Services (CMS) to remove barriers that make it difficult for subspecialists and providers in small practices to...Show More Summary

CMS Administrator Seema Verma To Outline Her Plan At 2017 Forbes Healthcare Summit

Seema Verma, the Administrator of the Centers for Medicare and Medicaid Services and a key figure in the future of the Affordable Care Act, will be interviewed live on-stage at the Forbes Healthcare Summit by Forbes Opinion Editor Avik Roy on November 30.

If Medicare wants value, it should cancel MACRA

From the CMS website, October 30, 2017, “Today, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma discussed the agency’s efforts to streamline quality measures, reduce regulatory burden, and promote innovation … We need to move from fee-for-service to a system that pays for value and quality — but how we define value and […]

AG: Addiction treatment center overbilled Medicaid by $860K

The Vermont Attorney General's Office says a now-defunct alcohol and drug treatment center overbilled the state for Medicaid services by $860,000. The Burlington Free Press reports the state filed a … Click to Continue »

Credit agency: Maine Medicaid vote could challenge budget

The credit rating agency Moody's Investors Service says Maine voters' decision to expand Medicaid might make it more difficult for the state to keep its budget balanced. Voters decided they … Click to Continue »

Four reasons that could explain ACOs' sluggish savings

(The Dartmouth Institute for Health Policy & Clinical Practice) Dartmouth Institute researchers paired data from the Centers for Medicare and Medicaid Services and the National Survey of ACOs to compare performance in the first three...Show More Summary

Hackensack Meridian Health Riverview Medical Center Offers Surgical Clinic for Under and Uninsured Community Members

Hackensack Meridian Health Riverview Medical Center now offers specialized surgical services for specific conditions to community members with Medicaid, Charity Care, Horizon NJ Health and United Health Care Family plans.

South Dakota IHS hospital to lose Medicare, Medicaid money

The Indian Health Service says a South Dakota reservation hospital has been notified that it will no longer be able to bill the government for services provided to those eligible … Click to Continue »

CMS Report on Radiation Therapy Payment Model Charts Path to Value-Based Cancer Care

The American Society for Radiation Oncology (ASTRO) today called on the Centers for Medicare and Medicaid Services (CMS) to move forward urgently with the development of a radiation oncology alternative payment model (RO-APM) following a new report to Congress from the Center for Medicare and Medicaid Innovation (CMS Innovation Center).

$15B in Louisiana Medicaid contracts up for consideration

Louisiana's lawmakers take their second look Friday at a proposal to extend high-dollar contracts for the managed-care companies that coordinate health services for most state Medicaid patients. Gov. John Bel … Click to Continue »

An Oops in your favor (New Mexico Edition)

Christus Health Plan made a mistake in New Mexico.  They filed the wrong rates for their plans this year.  The Center for Medicare and Medicaid Services (CMS) is allowing them to correct their rates at the next data refresh.  This data refresh will be in the middle of the month.  Until then, CMS and Healthcare.gov […]

Internists support CMS on its patients over paperwork and meaningful measures initiative

(American College of Physicians) In a letter sent today to the Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma, the American College of Physicians (ACP), expressed support and appreciation for the new initiatives...Show More Summary

Private insurance company to leave Iowa's Medicaid program

One of three private insurance companies that help run Iowa's Medicaid program plans to withdraw in a month. The Iowa Department of Human Services announced Tuesday that AmeriHealth Caritas will … Click to Continue »

Idaho: Company terminates $70M Medicaid transport contract

The company tapped to transport Medicaid patients for non-emergency services in Idaho is ending its $70 million contract with the state, the Idaho Department of Health and Welfare announced Monday. … Click to Continue »

New Mexico holds final hearing on Medicaid proposals

The New Mexico Human Services Department is holding its final public hearing on an array of proposed changes to the state's Medicaid health care program. Officials say the changes are … Click to Continue »

Medicare/Medicaid Administrator Seema Verma Meets with University Hospitals Cleveland Medical Center CEO and Other Leaders

Release about administrator from Medicare and Medicaid Services visiting University Hospitals Cleveland Medical Center.

Medicare graduate nurse education demonstration increases primary care workforce

(University of Pennsylvania School of Nursing) The Report to Congress on the Centers for Medicare and Medicaid Services (CMS) Graduate Nurse Education Demonstration has just been released documenting health care workforce gains addressing the nation's shortage of primary care. Show More Summary

Medicare Graduate Nurse Education Demonstration Increases Primary Care Workforce

The Report to Congress on the Centers for Medicare and Medicaid Services (CMS) Graduate Nurse Education Demonstration has just been released documenting health care workforce gains addressing the nation's shortage of primary care. The...Show More Summary

AACC Calls on CMS to Protect Patient Access to Essential Medical Tests

Today, AACC sent a letter to the Centers for Medicare & Medicaid Services (CMS) in response to the agency's proposed 2018 rates for clinical test reimbursement under the Protecting Access to Medicare Act (PAMA). In its statement, AACC...Show More Summary

Rule change lets Medicaid fund sex reassignment surgeries

New Hampshire lawmakers have approved a rule change that will allow Medicaid to pay for sex reassignment surgeries in the state. The state Department of Health and Human Services proposed … Click to Continue »

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