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America's Medical Bill Didn't Spike Last Year

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

U.S. top court says private medical providers can't sue states over Medicaid

17 hours agoNews : The Newsroom

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

NY’s Wage-Parity Scheme Survives Appeal

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.

Federal Health Agency Blames Obamacare Launch for Lack of Transparency

last weekNews : Mediaite

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.

It’s all tied together

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...]

Hospitals fight to charge you 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 […]

CMS Innovation Center hard at work?

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

CMS Unveils Next Generation ACO Model

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

CMS Announces Special Enrollment Period for Tax Season

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...

Rauner Budget Would Cut Medicaid, Restore Funding for Other Social Services

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

Resources to Help Consumers Use Their New Healthcare Coverage

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...

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

2 months agoHealth : NYTimes: Health

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

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