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United States District Court Ruling Puts Risk Adjustment On Hold

On February 28, 2018, the United States District Court for the District of New Mexico issued a decision invalidating use of the statewide average premium by the Center for Medicare & Medicaid Services (CMS) in the risk adjustment transfer formula established under section 1343 of the Patient Protection and Affordable Care Act for the 2014 – 2018 benefit years, pending further explanation of CMS’s reasons for operating the program in a budget neutral manner in those years.
Press Release

CMS Launches Data Element Library Supporting Interoperability

Today, the Centers for Medicare & Medicaid Services (CMS) announced the agency’s first Data Element Library (DEL). The DEL is a new CMS database that supports the exchange of electronic health information. Using this free, centralized resource, the public for the first time can view the specific types of data that CMS requires post-acute care facilities (such as nursing homes and rehabilitation hospitals) to collect as part of the health assessment of their patients.
Press Release

CMS Data Element Library Fact Sheet

Data Element Library (DEL) Mission and Goals: The mission of the DEL is to serve as a comprehensive, electronic, distributable, and centralized resource of CMS patient assessment instrument content for the public.
Fact Sheet

Speech: Remarks by CMS Administrator Seema Verma at the Medicare Advantage and Prescription Drug Plan Spring Conference

Welcome to CMS and thanks for joining us today, as we look ahead to 2019 for the Medicare Advantage and Part D programs. It’s a pleasure to be here with you and to provide an update on all that we have been doing to strengthen and improve these important programs for our nation’s seniors and the disabled.
Fact Sheet

CMS proposes updates to the wage index and payment rates for the Medicare Hospice Benefit for FY 2019

On April 27, 2018, the Centers for Medicare & Medicaid Services issued a proposed rule (CMS-1692-P) that would update fiscal year 2019 Medicare payment rates and the wage index for hospices serving Medicare beneficiaries.
Fact Sheet

Fiscal Year 2019 Medicare Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule (CMS-1688-P)

On April 27, 2018, the Centers for Medicare & Medicaid Services proposed changes on how Medicare pays inpatient rehabilitation facilities to make it easier for providers to spend more time with their patients, and improve the use of electronic health records.
Fact Sheet

CMS Announces Proposed Payment Changes for Medicare Home Health Agencies for 2018 and 2019

Today, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1672-P) that would update the calendar year (CY) 2018 Medicare payment rates and the wage index for home health agencies (HHAs) serving Medicare beneficiaries.
Fact Sheet

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2018

On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2018.
Fact Sheet