As I describe in Run Away: CMS Abandons Part D Preferred Pharmacy Network Changes, the Centers for Medicare & Medicaid Services (CMS) plan for wrecking Medicare Part D has been temporarily thwarted. CMS had proposed changes to the Any Willing Provider (AWP) provisions that would have effectively ended preferred pharmacy networks. Show More Summary
New research reveals that 57% of liver transplant centers use living donor evaluation consent forms that include all the elements required by the Centers for Medicare and Medicaid Services (CMS) and 78% of centers addressed two-third or more of the items recommended by the Organ Procurement and Transplant Network (OPTN).
Recently, I noted that the Center for Medicare and Medicaid Services (CMS) Physician Quality Reporting System (PQRS) was going to offer an incentive payment of 0.5% beginning 1 January 2014 to doctors who participate in the AmericanShow More Summary
In a joint response to the Centers for Medicare & Medicaid Services (CMS) National Coverage and Analysis Group, the Lung Cancer Alliance, The Society of Thoracic Surgeons, American College of Radiology (ACR) and 38 other medical organizations...Show More Summary
A new article questions whether the Centers for Medicare & Medicaid Services' use of financial penalties is the right tack for changing the behavior of hospitals. In the article, the researchers examine the pros and cons of the hospital readmissions reduction policy in the Affordable Care Act as an example of similar CMS initiatives.
Researchers examine staffing patterns among nearly 500 technologically advanced primary care practices selected to participate in the Centers for Medicare and Medicaid Services Comprehensive Primary Care Initiative and find a significant gap between where the practices are and where policy makers expect them to be in order to implement new models of care.
Not content to rest on its laurels after October’s impressive healthcare.gov launch, the Centers for Medicare & Medicaid Services (CMS) proposed drastic changes to almost every aspect of the popular Medicare Part D program in January. Show More Summary
Pennsylvania is currently a limited Medicaid eligibility state. The governor, Republican Tom Corbett, has filed an 1115 waiver application with Health and Human Services for the Arkansas style ‘private option’ expansion. The expansion...Show More Summary
The NAM filed comments today with the Centers for Medicare and Medicaid Services (CMS) on “Policy and Technical Changes toRead the Rest...
This week, the Centers for Medicare and Medicaid Services (CMS) released their proposed decision memo for the National Coverage Analysis (NCA) on Medicare coverage for Hepatitis C virus (HCV) screening in adults. They find that “the evidence is adequate to conclude that screening for Hepatitis C Virus (HCV), consistent with the grade B recommendations by...
Today, the NAM expressed our strong concerns to the Centers for Medicare and Medicaid Services (CMS) about their recent announcementRead the Rest...
New Hampshire is the latest state to get on board with Medicaid expansion. They still will need approval of a waiver from Health and Human Services, but the New Hampshire government is extremely likely to ask for an Arkansas style “private option” waiver. HHS has been willing to grant those waivers as long as there [Read more...] This space reserved for your ad.
OraSure shares surge following an intriguing proposal from the Centers for Medicare and Medicaid Services. Here's what you need to know.
By Sarah Hurtubise | The Daily Caller An Oregon Obamacare exchange failure shifted nearly 4,000 applicants for a state program that provides pregnancy services to illegal immigrants into the state’s expanded Medicaid program, the Oregonian reports. Show More Summary
The same Republican governors who called for mental health services instead of gun policy reform are blocking millions of people from getting this type of care. The post GOP Governors’ Refusal To Expand Medicaid Leaves Nearly 4 Million People Without Mental Health Care appeared first on ThinkProgress.
The administrator of the Centers for Medicare and Medicaid Services said CMS should have hired a systems integrator to implement HealthCare.gov.
On November 4, 2013, the Centers for Medicare & Medicaid Service (CMS) issued a frequently asked question (FAQ) [PDF 112 KB] related to third-party payments of premiums for qualified health plans (QHPs) in the Health Insurance Marketplace. Since then, questions have arisen whether this FAQ applies to payments of premiums and cost sharing made on behalf of...
Actuaries from the Centers for Medicare and Medicaid Services (CMS) estimate that about two thirds of small businesses will see their health insurance premiums rise under Obamacare. Via The Wall Street Journal. The report analyzed employers...Show More Summary
In a colossal “oh by the way” revelation, last Friday afternoon the Centers for Medicare and Medicaid Services (CMS), a federal agency under the United States Department of Health and Human Services (that would be the executive branch run by President Obama), quietly released a report exposing the fact that under Obamacare, two-thirds of Americans […]
The GOP has come out swinging against Obamacare after a report was released Friday from the Centers for Medicare & Medicaid Services stating that 11 million small business employees may soon see their premiums climb. The report states that Obamacare’s requirement that premiums can no longer be based on a person's age will gouge younger workers. Show More Summary