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CMS Issues Final Rule for the 2020 Annual Notice of Benefit and Payment Parameters
The Centers for Medicare & Medicaid Services (CMS) today released the final annual Notice of Benefit and Payment Parameters for the 2020 benefit year, also known as the 2020 Payment Notice. The rule reduces user fees for plans offered on HealthCare.gov, and encourages the use of lower-cost generic drugs, while improving market stability and consumer choice.
Press releaseCMS issues the proposed Payment Notice for the 2020 coverage year
The Centers for Medicare & Medicaid Services (CMS) today issued the proposed annual Notice of Benefit and Payment Parameters for the 2020 benefit year (proposed 2020 Payment Notice).
Press releaseCMS finalizes rule on the risk adjustment program for the 2018 benefit year
Today, the Centers for Medicare & Medicaid Services (CMS) issued the final rule, “Patient Protection and Affordable Care Act; Methodology for the HHS-operated Permanent Risk Adjustment Program for 2018.”
Press releaseCMS issues proposed additional rule to address risk adjustment program for the 2018 benefit year
Today’s notice of proposed rulemaking, “Patient Protection and Affordable Care Act; Methodology for the HHS-operated Permanent Risk Adjustment Program for 2018 Proposed Rule,” proposes to adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year which uses the statewide average premium in the payment transfer formula.
Press releaseUnited 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 releaseIPF Fiscal Year (FY) 2019 Medicare Payment and Quality Reporting Updates for Inpatient Psychiatric Facilities Proposed Rule (CMS 1690-P)
On April 27, 2018, the Centers for Medicare & Medicaid Services issued a rule proposing updates for fiscal year 2019 to Medicare payment policies and rates for the Inpatient Psychiatric Facilities Prospective Payment System and the IPF Quality Reporting Program.
Fact sheetCMS 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 sheetOutpacing last year, more than 11.5 million people are signed up for Marketplace coverage
A new report released today by the U.S. Department of Health and Human Services (HHS) shows that more than 11.5 million people nationwide were signed up for Health Insurance Marketplace coverage as of December 24, 2016, an increase of 286,000 plan selections relative to the comparable period last year.
Press releaseLong-Term Care Hospital (LTCH) Compare Website
This fact sheet contains information about the Long-Term Care Hospital (LTCH) Compare website that was launched on December 14, 2016.
Fact sheetCMS Releases 2015 National Health Expenditures
In 2015, per-capita health care spending grew by 5.0 percent and overall health spending grew by 5.8 percent, according to a study by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) published today as a Web First by Health Affairs.
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