Lower Costs, Better Care: Reforming Our Health Care Delivery System
Fixing America’s health care system doesn’t stop with guaranteeing that everyone has coverage.
Newsroom Fact SheetAFFORDABLE CARE ACT SUNSHINE RULE INCREASES TRANSPARENCY IN HEALTH CARE
The Centers for Medicare & Medicaid Services (CMS ) announced today a proposed rule that will increase public awareness of financial relationships between drug and device manufacturers and certain health care providers.
Newsroom Press ReleaseNEW REPORT SHOWS CMS PILOT PROGRAM SAVING NEARLY $700 MILLION IN IMPROPER MEDICARE PAYMENTS
The Centers for Medicare & Medicaid Services (CMS) today released a new report offering fresh evidence that the recovery audit contractors (RACs) pilot program is successfully identifying improper payments.
Newsroom Press ReleaseCMS STRENGTHENS EFFORTS TO REDUCE FRAUD AND ABUSE IN MEDICARE, MEDICAID
Centers for Medicare & Medicaid Services Administrator Mark B. McClellan, M.D., Ph.D. today announced a new CMS initiative and a proposed regulation to protect the nation’s largest federal health programs from fraud and abuse and further reduce improper payments through the use of enhanced electronic tools now available.
Newsroom Press ReleaseCMS ANNOUNCES PILOT PROJECT TO DETERMINE EFFECTIVENESS OF HOSPITAL COMPLIANCE PROGRAMS
Centers for Medicare & Medicaid Services (CMS) Administrator Mark McClellan, M.D., Ph.D. today announced CMS will soon undertake a pilot program in partnership with hospitals in 13 states and the District of Columbia to determine the effectiveness of the voluntary compliance programs used by many hospitals.
Newsroom Press ReleaseCMS ADMINISTRATOR TOM SCULLY TO STEP DOWN DEC. 15
CMS Administrator Tom Scully announced today he will resign effective Dec. 15, following three years at the helm of the nation’s second and third-largest domestic programs, Medicare and Medicaid.
Newsroom Press ReleaseCMS ISSUES FINAL RULE FOR OUTLIER PAYMENTS TO HOSPITALS
The Centers for Medicare & Medicaid Services today issued a final rule revising Medicare policies governing outlier payments to hospitals for services to inpatients for whom the costs of treatment greatly exceed the fixed payment under the inpatient prospective payment system (IPPS).
Newsroom Press ReleaseCMS TAKES STEPS TO CRACK DOWN ON INAPPROPRIATE HOSPITAL OUTLIER CLAIMS
The Centers for Medicare & Medicaid Services (CMS) today proposed new regulations that will prevent further gaming of the outlier system. A few hundred hospitals in recent years have obtained the lion’s share of these payments by manipulating their Medicare billing to maximize Medicare outlier revenues.
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