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Medicaid for Services Update

Two weeks ago, I wrote about Medicaid - A Path to Housing & Services. In the previous blog, I explain how California is asking the federal government for permission to use Medicaid funds contributed by Uncle Sam to pay for rental assistance for the most medically fragile and vulnerable people facing homelessness. Show More Summary

Not Expanding Medicaid Can Cost Local Taxpayers

This piece comes to us courtesy of Stateline. Stateline is a nonpartisan, nonprofit news service of the Pew Charitable Trusts that provides daily reporting and analysis on trends in state policy. DALLAS — Dallas County property owners...Show More Summary

Independence at Home Program at Penn Medicine Part of National Demonstration That Saved More than $25 Million in its First Year

House calls, a long-running option dating back to the early days of medicine, can be used in a new way to improve geriatric care and lower costs, says a report issued last week from the Centers for Medicare & Medicaid Services (CMS)...

Medicaid - A Path to Housing & Services

"I am too old and sick to be back out there on the streets. It kind of takes a toll on a person." These words, spoken to Kaiser Health News by a gentleman once facing homelessness and now in supportive housing, say it all. That's why...Show More Summary

The privatization of NC Medicaid begins

2 weeks agoUS Politics / Liberal : BlueNC

And Ralph Hise is leading the charge: Sen. Ralph Hise detailed plans that would move Medicaid away from the state Department of Health and Human Services and to a newly created Health Benefits Authority. The HBA, according to Hise, would...Show More Summary

AMGA Submits Comments on Proposals to Modify Meaningful Use from 2015 through 2017

Yesterday, the American Medical Group Association (AMGA) submitted comments to the Centers for Medicare and Medicaid Services (CMS) making recommendations on the proposed rule to modify Meaningful Use in 2015 through 2017.

CMS Issues National Coverage Decision for Pacemakers Dangerous To Patients

2 weeks agoIndustries / Medical : Dr. Wes

Who needs the Independent Payment Advisory Board to limit indicated care for patients when you have the Center for Medicare and Medicaid Services (CMS)? Today I learned that CMS has issued a National Coverage Decision (NCD) for pacemakers...Show More Summary

The price of healthcare in North Carolina

3 weeks agoUS Politics / Liberal : BlueNC

When it comes to North Carolina's Department of Health and Human Services (DHHS), few words written are more damning than these... The need to catch up with nearly two years worth of Medicaid expenses runs counter to the state Health and Human Services department’s narrative that it has cleaned up longstanding problems in Medicaid.

New CMS Policy To Provide Entrepreneurs Access Medicare Data

Today at sixth annual Health Datapalooza, the acting Centers for Medicare & Medicaid Services (CMS) Administrator, Andy Slavitt, announced a new policy that for the first time will allow innovators and entrepreneurs to access CMS data, such as Medicare claims. As part of the Administration’s commitment to use of data and information to drive transformation of... Read More

CMS Seeks Input on Proposed Out-of-Pocket Comparison Tool

The Centers for Medicare & Medicaid Services (CMS) is developing an Out-of-Pocket (OOP) Cost Comparison Tool to help consumers make more informed choices about their health insurance coverage and help them pick a plan that will best meet their needs. The proposed tool will allow shoppers in the Federally-facilitated Marketplaces (FFMs) to see estimates of...

ACA Efforts Result in Federal Agency's Clarification of PPACA Language on Access to Non-MD/DO Providers

At the urging of the American Chiropractic Association (ACA), the Centers for Medicare & Medicaid Services (CMS) has clarified a section of the Patient Protection and Affordable Care Act (PPACA) that led some states to improperly limit patient access to chiropractic physicians and other qualified non-MD/DO health care providers.

U.S. Releases 2013 Data on Medicare Billing

Data from the Centers for Medicare and Medicaid Services includes payments and services connected with the 100 most common Medicare hospital stays.

AMGA Submits Comments to CMS with Recommendations on Stage 3 EHR Incentive Proposals

Earlier today, the American Medical Group Association (AMGA) submitted comments to the Centers for Medicare and Medicaid Services (CMS) making recommendations on the proposed rule for Stage 3 of the Medicare and Medicaid Electronic Health Records Incentive Programs.

What New Managed Care Regulations Will Mean For Frail Elders

Federal regulations are finally catching up with a decade of seismic change in the delivery of Medicaid services. More than 650 pages of proposed new rules are aimed at overseeing managed care, which has become the standard health care delivery system for low-income adults and children, and is now being [...]

The MCO Uber Rule

The Center for Medicare and Medicaid Services (CMS) released a proposed set of regulatory changes for Medicaid earlier this week. There are a couple of significant changes proposed for the program that covers 15% to 20% of the US population. From the Hill: The proposed rule from CMS would set the medical loss ratio at [Read more...] This space reserved for your ad.

CMS proposes rule to strengthen managed care for Medicaid and CHIP Enrollees

Editor’s Note: This press release was issued by the Centers for Medicare and Medicaid Services (CMS) on May 25, 2015. CMS proposes rule to strengthen managed care for Medicaid and CHIP Enrollees Proposal will modernize and improve quality of care for Medicaid and CHIP managed care plans Today, the Centers for Medicare & Medicaid Services...

New York City hospitals hit up state, feds for another $1 billion

In February 2014, Gov. Andrew Cuomo announced that the federal Department of Health and Human Services had agreed to plow $8 billion in Medicaid savings back into the state's fragile health care... To view the full story, click the title link.

Daily dose: "Say what?" edition

last monthUS Politics / Liberal : BlueNC

House Medicaid budget provision draws fire (WRAL-TV) -- The proposed House budget would give Health and Human Services Secretary Aldona Wos sweeping authority to run North Carolina's Medicaid program, allowing her to push forward with changes to the program's details and overall structure with relatively little intervention from the General Assembly. Show More Summary

The Readmissions Penalty at Year Three: How Are We Doing?

By ASHISH JHA, MD A few months ago, the Centers for Medicare and Medicaid Services (CMS) put out its latest year of data on the Hospital Readmissions Reduction Program (HRRP). As a quick refresher – HRRP is the program within the Affordable Care Act (ACA) that penalizes hospitals for higher than expected readmission rates. We are

Less is more in medicine: You get what you pay for

You gotta hand it to our health department. They are laser focused on this one. They want 85 percent of payments made to doctors by the Centers for Medicare & Medicaid Services (CMS) to be linked to clinical quality measures within the next two years. Moreover, I suspect the health department is still giddy from […]

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