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Fiscal Year (FY) 2019 Medicare Fee-For-Service Improper Payment Rate is Lowest Since 2010 while data points to concerns with Medicaid eligibility

The Centers for Medicare & Medicaid Services (CMS) announced today that the Medicare Fee-For-Service (FFS) improper payment rate has fallen yet again, and is at its lowest level since FY 2010.
Press Release

2019 Estimated Improper Payment Rates for Centers for Medicare & Medicaid Services (CMS) Programs

The Improper Payments Information Act of 2002 (IPIA), as amended by the Improper Payments Elimination and Recovery Act of 2010 and the Improper Payments Elimination and Recovery Improvement Act of 2012, requires CMS to periodically review programs it administers, identify programs that may be susceptible to significant improper payments, estimate the amount of improper payments, and report on the improper payment estimates and the Agency’s actions to reduce improper payments in the Department of Health & Human Services (HHS) annual Agency Financial Report (AFR)
Fact Sheet

CMS achieved improper payment rate reductions in Medicare Fee-For-Service (FFS), Medicare Part C, Medicare Part D, Medicaid, and Children’s Health Insurance Program

CMS has implemented several initiatives to address improper payments, resulting in this being the first year in improper payment reporting history that the Medicare Fee-For-Service (FFS), Medicare Part C, Medicare Part D, Medicaid and Children’s Health Insurance Program achieved reductions in all five programs’ improper payment rates.
Fact Sheet

CMS finalizes new safeguards to reduce Medicare fraud

On December 3, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that will improve CMS’ ability to deny or revoke the enrollment of entities and individuals that pose a program integrity risk to Medicare.
Fact Sheet

Historic release of data gives consumers unprecedented transparency on the medical services physicians provide and how much they are paid

Today, as part of the Obama administration’s work to make our health care system more transparent, affordable, and accountable, Health and Human Services (HHS) Secretary Kathleen Sebelius announced the release of new, privacy-protected data on services and procedures provided to Medicare beneficiaries by physicians and other health care professionals.
Press Release

OBAMA ADMINISTRATION ANNOUNCES GROUND-BREAKING PUBLIC-PRIVATE PARTNERSHIP TO PREVENT HEALTH CARE FRAUD

Washington - Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder today announced the launch of a ground-breaking partnership among the federal government, State officials, several leading private health insurance organizations, and other health care anti-fraud groups to prevent health care fraud.
Press Release

REPORT SHOWS LOWER COSTS IN MEDICARE DUE TO THE AFFORDABLE CARE ACT

The Medicare Program will save over $200 billion through 2016 due to the Affordable Care Act, and beneficiaries in traditional Medicare will enjoy $59.4 billion in lower costs, according to a report released today by the Centers for Medicare & Medicaid Services (CMS).
Press Release

HEALTH REFORM EXPANDS THE INSURANCE MARKET, SUPPORTS CONSUMER-GOVERNED NONPROFIT HEALTH PLANS

The Centers for Medicare and Medicaid Services today announced that seven Consumer Operated and Oriented Plans (CO-OPs) will receive repayable loans to help them establish private non-profit, consumer-governed health insurance companies.
Press Release

THE AFFORDABLE CARE ACT: STRENGTHENING MEDICARE IN 2011

In 2011, millions of seniors and people with disabilities enjoyed lower costs and improved benefits thanks to the Affordable Care Act.  This report details how over 25.7 million Americans in traditional Medicare received free preventive services in 2011.
Press Release