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9 Oct 2023, 4:15 am
Last week, the White House announced that the manufacturers of all ten of the drugs singled out by the Centers for Medicare and Medicaid Services (CMS) and its drug price negotiation program (DPNP) have “agreed” to participate therein. [read post]
9 Oct 2023, 4:15 am
Last week, the White House announced that the manufacturers of all ten of the drugs singled out by the Centers for Medicare and Medicaid Services (CMS) and its drug price negotiation program (DPNP) have “agreed” to participate therein. [read post]
23 Mar 2023, 1:02 pm
In the final year of the Trump administration, just before the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) sought to push the outer bounds of this question by announcing the Healthy Adult Opportunity (HAO) initiative. [read post]
19 May 2011, 1:45 pm
During late March, the Centers for Medicare and Medicaid Services ("CMS") proposed a rule regarding Accountable Care Organizations ("ACOs") and the Medicare Shared Savings Program, which will make payments of shared savings to ACOs ("Proposed Rule"). [read post]
3 Oct 2012, 10:00 am
To see the Power Mobility Devices (PMDs) Demonstration operational guide from the Centers for Medicare and Medicaid Services (CMS), click here.... [read post]
14 May 2018, 3:59 pm
The Centers for Medicare & Medicaid Services (CMS) has issued its annual proposed update to Medicare skilled nursing facility (SNF) PPS rates and policies for fiscal year (FY) 2019. [read post]
20 Dec 2016, 6:42 am
The CMS Center for Medicare & Medicaid Innovation (CMMI) continues to launch initiatives to test ways to improve the quality of health care while controlling cost, despite an uncertain fate under the future Trump Administration and Republican-controlled Congress. [read post]
19 Feb 2018, 6:31 am
On February 14, 2018, the Centers for Medicare & Medicaid Services (CMS) announced projections that national health care spending is expected to increase an average of 5.5% a year between 2017 – 2026 and will account for almost 20% of Gross Domestic Product by 2026. [read post]
19 Jul 2013, 2:53 am
The Centers for Medicare & Medicaid Services proposed that “Medicare will pay the costs of brain imaging that uses a Eli Lilly & Co. drug to help diagnose Alzheimer’s disease only for patients participating in approved clinical studies,” Bloomberg News reported. [read post]
1 Mar 2023, 9:29 am
On January 30, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). [read post]
13 Jan 2008, 3:25 am
We reported here several weeks ago the Centers for Medicare and Medicaid Services (CMS) disclosure of the 54 worst nursing homes in the United States. [read post]
25 Oct 2019, 2:23 pm
Collyer denied the government’s request to modify the Court’s previous ruling on September 17, 2019, that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it reduced Medicare payment rates for clinic visit evaluation and management (E&M) services provided to Medicare patients in hospital excepted off-campus provider-based departments. [read post]
14 Jan 2013, 7:55 am
Major Department of Health and Human Services (HHS) regulations are highlighted after the jump.An HHS Office of Inspector General (OIG) proposed rule that would add new/modify existing safe harbors under the anti-kickback statute; add new/revise existing regulations governing OIG's authority to impose civil money penalties and assessments; add new/revise existing regulations governing OIG's exclusion authority; and codify new exceptions to the beneficiary inducement prohibition… [read post]
6 Nov 2012, 6:12 am
CMS RELEASES FIVE RULES AFFECTING PROVIDER PAYMENTSOn November 1 and 2, the Centers for Medicare & Medicaid Services (CMS) released a flurry of rules dealing with healthcare provider payments for fiscal year 2013 and other matters. [read post]
12 Jan 2022, 3:22 pm
On January 7, the Supreme Court heard an oral argument regarding the applications for an emergency stay of the Occupational Safety and Health Administration (OSHA) COVID-19 Vaccination and Testing Emergency Temporary Standard (ETS) as well as the regulations issued by the Centers for Medicare & Medicaid Services. [read post]
3 Aug 2011, 8:37 am
“The incentives we’re putting into place have created a whole new way to think about hospital care,” said Jonathan Blum, deputy administrator of the federal Centers for Medicare and Medicaid Services (CMS).Absolutely. [read post]
11 Mar 2024, 5:01 am
In response to growing concerns, in February 2024 the Centers for Medicare and Medicaid Services under the Biden Administration finalized new regulations to reform the pre-authorization process under Medicare Advantage plans. [read post]
7 May 2019, 9:05 pm
Seema Verma, the current Administrator for the Centers for Medicare and Medicaid Services (CMS), has argued that the growth in Medicaid enrollment is not a cause for celebration, and that “for able bodied adults, we should celebrate helping people move up, move on, and move out” of the Medicaid program. [read post]
1 Dec 2010, 7:13 am
And the Centers for Medicare & Medicaid Services (CMS) is getting a little help delivering the good news from a well-known TV star: Andy Griffith. [read post]
15 May 2012, 6:23 am
CMS DELAYS DATA COLLECTION UNDER SUNSHINE ACTIn a May 3 notice on its official blog, the Centers for Medicare & Medicaid Services (CMS) announced that it will not require data collection under the Physician Payments Sunshine Act, part of the Patient Protection and Affordable Care Act (PPACA), until January 1, 2013. [read post]
