Search for: "Center for Medicare/Medicaid Services"
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13 Jul 2023, 10:00 pm
Hospice industry leaders had called for the Centers for Medicare and Medicaid Services (CMS) to take additional action to target abusive new hospice practices in certain states and on July 12, 2023, CMS announced targeted oversight of new hospices in Arizona, California, Nevada, and Texas in a “ MLN fact sheet . [read post]
13 Jul 2023, 10:00 pm
Hospice industry leaders had called for the Centers for Medicare and Medicaid Services (CMS) to take additional action to target abusive new hospice practices in certain states and on July 12, 2023, CMS announced targeted oversight of new hospices in Arizona, California, Nevada, and Texas in a “ MLN fact sheet . [read post]
13 Jul 2023, 10:00 pm
Hospice industry leaders had called for the Centers for Medicare and Medicaid Services (CMS) to take additional action to target abusive new hospice practices in certain states and on July 12, 2023, CMS announced targeted oversight of new hospices in Arizona, California, Nevada, and Texas in a “ MLN fact sheet . [read post]
12 Jul 2023, 1:09 pm
These referral arrangements are illegal when Medicare or Medicaid dollars are involved and the numbers of these relationships are blossoming as the numbers of Medicare and Medicaid patients are increasing. [read post]
5 Jul 2023, 12:56 pm
This information will be formatted in a way to allow for price comparisons between hospitals for such common procedures; Convening key stakeholders in healthcare, including, but not limited to, representatives of hospitals, healthcare providers, health plans, and self-insured entities, to examine the costs of healthcare services in the City; and Collecting and making available, upon request, each New York City hospital’s United States Internal Revenue Service… [read post]
5 Jul 2023, 5:46 am
On June 6, 2023, the Center for Medicare and Medicaid Services (“CMS”) released a Quality Safety & Oversight memorandum (“QSO Memo”) reminding state survey agencies, accrediting organizations, and hospitals of the requirements for discharges and transfers to post-acute care (“PAC”) providers. [read post]
5 Jul 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced the start of a new skilled nursing facility (SNF) 5 Claim Probe & Educate Review Program (SNF P&E Program). [read post]
27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
20 Jun 2023, 5:55 am
COVID-19 Vaccine Mandate Update (June 20, 2023): In response to the recent public health crises, the Centers for Medicare & Medicaid Services (CMS) first implemented a vaccine mandate for healthcare providers in late 2021. [read post]
17 Jun 2023, 3:06 pm
From Health Affairs (online, June 14):New estimates released today from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS) and published online today in Health Affairs project a rate of national health spending growth of 4.3 percent for 2022, with expenditures projected to have reached $4.4 trillion. [read post]
16 Jun 2023, 6:46 am
Economy over Next Decade Healthcare spending will grow faster than the U.S. economy over the next decade, according to actuaries at the Centers for Medicare & Medicaid Services. [read post]
15 Jun 2023, 9:26 pm
Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) over new measures in the Inflation Reduction Act (IRA). [read post]
14 Jun 2023, 7:59 pm
CDRH can engage with the Centers for Medicare & Medicaid Services (CMS) for parallel review – the mechanism for FDA and CMS to simultaneously review the submitted clinical data to help decrease the time between FDA’s approval of a premarket application and the subsequent CMS national coverage determination (NCD). [read post]
14 Jun 2023, 8:02 am
In 1980, HEW was renamed the Department of Health and Human Services (HHS). [read post]
9 Jun 2023, 7:59 am
”[2] In the consolidated cases before the Court, the Seventh Circuit held that the defendants, which own and operate retail pharmacies, had not “knowingly” presented false claims for reimbursement because they had offered in litigation “objectively reasonable” (if not accurate) interpretations of the complex Medicare and Medicaid prescription drug pricing schemes at issue (involving accurate reporting of “Usual and Customary” pricing… [read post]
