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CMS issues Program Integrity guidelines for Marketplace

Jun 14

Today, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule outlining program integrity guidelines for the Health Insurance Marketplace (Marketplace) and premium stabilization programs.  

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Medicare urges seniors to join fight against fraud

Jun 06

In mailboxes across the country, people with Medicare will soon see a redesigned statement of their claims for services and benefits that will help them better spot potential fraud, waste and abuse. These newly redesigned Medicare Summary Notices are just one more way the Obama Administration is making the elimination of fraud, waste and abuse in health care a top priority. Because of actions like these and new tools under the Affordable Care Act, the number of suspect providers and suppliers thrown out of the Medicare program has more than doubled in 35 states.

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Secure health data helping patients, doctors improve care and health

Jun 03

Health and Human Services (HHS) Secretary Kathleen Sebelius today announced the release of new data and new opportunities for researchers and developers at the beginning of Health Datapalooza IV. This is the fourth annual national conference on health data transparency, which brings together government, non-profit, and private sector organizations to look at the potential for open data from HHS and other sources to help improve health and health care.

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Small Business Health Options Program (SHOP) will be ready for open enrollment on October 1

May 31

The Centers for Medicare & Medicaid Services (CMS) moved forward today with the release of a final rule and the application that provides small employers with easy-to-understand access to health insurance options for their employees.  Beginning on October 1, 2013, small employers will be able to choose from a range of coverage options through the Small Business Health Options Program, or SHOP, for their employees for coverage beginning on January 1, 2014.  The SHOP will offer a single point of entry for employers and their employees to apply for coverage, and if eligible, the employer may qualify for a tax credit worth up to 50 percent of the employer’s premium contribution.

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Trustees Report shows reduced cost growth, longer Medicare solvency

May 31

The Medicare Trustees today projected that the trust fund that finances Medicare’s hospital insurance coverage will remain solvent until 2026, two years beyond what was projected in last year’s report.

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