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Maine Taxpayers Illegally Charged for Abortion-Related Procedures

FPAM "had been improperly billing Maine’s taxpayer-funded Medicaid program for abortion-related services in violation of Medicaid law."

Lung Cancer Screenings Not Linked to Unnecessary Treatment

Studies have shown that lung cancer screening with low-dose computed tomography (LDCT) can reduce lung cancer mortality in high-risk patients by 20%. As a result, private insurers and the Centers for Medicare & Medicaid Services agreed to cover LDCT lung cancer screening for select patients, but critics raised concerns that false-positive results could lead to […]

CMS Issues Meaningful Use Final Rule: Key Facts to Know

After facing severe criticism from members of Congress, professional medical organizations and providers pushing to delay the final rules for Meaningful Use Stage 3. On Tuesday, The Centers for Medicare & Medicaid Services (CMS) andShow More Summary

Declining Federal Funds Under Medicaid Expansion Threaten Oregon Health Services

When states embraced Obamacare with either the creation of their own state exchange or the expansion of Medicaid with ‘free...

WEDI Extends Searchable ICD-10 Issue Reporting Database Post 10/1

The Workgroup for Electronic Data Interchange (WEDI), a nonprofit authority on the use of health IT to create efficiencies in healthcare information exchange, in partnership with the Centers for Medicare and Medicaid Services (CMS) and...Show More Summary

If you want mental health services to prevent violence, Medicaid expansion is critical

Harold Pollack is a professor at the School of Social Service Administration at the University of Chicago. This is a guest column. Oregon’s mass homicide sparked the usual debate about whether guns or mental health is the best focus in preventing atrocities. Given this stark frame, the centrality of gun policy is hard to deny. Compared with […]

EXCLUSIVE: In 2016, 85% of Medicare Part D plans have a preferred pharmacy network

The Centers for Medicaid & Medicare Services (CMS) just released data on 2016's Medicare Part D plans. Our exclusive, warp speed analysis reveals that 85% of Medicare Part D regional prescription drug plans (PDP) will have a preferred cost sharing network in 2016. Show More Summary

'Death panels' hugely popular with American public

The Centers for Medicare & Medicaid Services is now finalizing the rules to start paying for doctors discussing end of life care with their Medicare patients. That would be what Republicans used to call "death panels" and what the American...Show More Summary

U.S. House Passes Yet Another Anti-Choice Bill

The misleadingly-named "Women's Public Health and Safety Act" would allow states to kick health-care providers out of their Medicaid programs for performing abortions, or being connected in almost any way to abortion services. Image: RepSeanDuffy / YouTube The post U.S. House Passes Yet Another Anti-Choice Bill appeared first on RH Reality Check.

Vanderbilt Receives Major CMS Contract to Help Southeast Clinicians Transform Clinical Care

Vanderbilt University has received a contract from the Centers for Medicare and Medicaid Services (CMS) for up to $28 million over four years to help more than 4,000 clinicians in the Southeast transform their clinical practices in ways that improve quality of patient care and hold down costs.

A nurse with fatal breast cancer says end-of-life discussions saved her life

last weekHealth : The Checkup

To: Centers for Medicare & Medicaid Services:News reports say you will soon make a final decision about paying doctors and other providers who talk to their patients about end-of-life planning, I have a fatal form of breast cancer, and I’d like to tell you how such conversations have allowed me to survive, and live well, in the five years since my diagnosis.Read full article >>

Defunding Planned Parenthood Would Undermine Women's Care in Medicaid

Barring federal funding for Planned Parenthood, as some in Congress favor, would have a devastating impact on women's access to health care services through Medicaid -- especially family planning services -- and put many women's health...Show More Summary

Judge Hears Lawsuit to Stop Arkansas From De-Funding Planned Parenthood

In Arkansas, Planned Parenthood of the Heartland (PPH) has asked a federal court to stop the state’s Department of Human Services from terminating their contracts with Medicaid. As LifeNews previously reported, the suit follows two Planned Parenthood suits against Louisiana and Alabama after those states decided to de-fund Planned Parenthood. PPH has abortion facilities in […]

Here’s Who Will Pay For Prescription Drugs in 2024

In New CMS Forecast: Drug Spending Grows Along with Impossible Hospital and Doctor Spending, I examined the July 2015 drug spending forecasts from the Centers for Medicare and Medicaid Services (CMS). Today, I identify new insights about payments in the 2024 drug market. Show More Summary

PREDICTABLE: Obamacare Enrollment Tumbles as Huge Price Hike Looms. In its latest enrollment repor…

PREDICTABLE: Obamacare Enrollment Tumbles as Huge Price Hike Looms. In its latest enrollment report, the Centers for Medicare and Medicaid Services says 9.9 million were still enrolled in ObamaCare exchange plans. That’s almost 2 million fewer than the administration claimed in the spring, when it bragged that 11.7 million had signed up, and way below the Congressional […]

AMGA Submits Recommendations on Medicare Physician Fee Schedule Proposed Rule for 2016

The American Medical Group Association (AMGA) submitted comments in response to the Centers for Medicare and Medicaid Services' (CMS) Medicare Physician Fee Schedule Proposed Rule for 2016. AMGA supports provisions that included twoShow More Summary

House Judiciary panel sets first Planned Parenthood hearing

Removing Planned Parenthood from the Medicaid program “without providing any justification related to (the organization’s) qualifications to provide medical services would violate Louisiana’s obligations under the Medicaid statute’s “free choice of provider” provision”, the Justice Department wrote. Show More Summary

Can We Tame The Wild West of Health Care Pricing?

By TORBEN NIELSEN Health care pricing is like the Wild West and it is only a matter of time before it catches up with us. In July, the Centers for Medicare & Medicaid Services (CMS) confirmed what many consumers, employers and health plans already knew: there is no cost and quality standard in the American

Obamacare's Accountable Medicare Effort Saves Another $400M

A rapidly expanding health care delivery system that rewards doctors and hospitals for working together to improve quality reaped $411 million in savings, the Obama administration said.  The Centers for Medicare & Medicaid Services said Tuesday more than 350 accountable care organizations combined to achieve savings in 2014 as the government [...]

Sepsis care guidance: Nationwide hospital requirements

As hospitals across America brace for rigorous mandates for care of septic patients that will be adopted by the Centers for Medicare & Medicaid Services in October, a new review unveils research-based guidance to improve compliance when treating this common and deadly syndrome.

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