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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. 
Apr 18, 2019 Press Release

CMS 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).
Jan 17, 2019 Press Release

CMS 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.”
Dec 07, 2018 Press Release

CMS 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.
Aug 08, 2018 Press Release

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.
Jul 07, 2018 Press Release

IPF 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.
Apr 27, 2018 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.
Apr 27, 2018 Fact Sheet

Outpacing 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.
Jan 10, 2017 Press Release

Long-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.
Dec 14, 2016 Fact Sheet

CMS 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.
Dec 02, 2016 Press Release

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