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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 OPEN ENROLLMENT ENDS TOMORROW; PEOPLE WITH MEDICARE SEE SIGNIFICANT SAVINGS IN 2011 AS TIME TO SELECT 2012 PLANS ENDS
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AFFORDABLE CARE ACT HELPING CONSUMERS GET BETTER VALUE FOR THEIR HEALTH CARE DOLLARS
Today, the Centers for Medicare & Medicaid Services (CMS) issued a final regulation that will ensure health insurance companies spend at least 80 percent of consumers’ health insurance premiums on medical care, not income, overhead and marketing.
Press Release CMS ADOPTS POLICY AND PAYMENT CHANGES FOR OUTPATIENT CARE IN HOSPITALS AND AMBULATORY SURGICAL CENTERS
The Centers for Medicare & Medicaid Services (CMS) today issued a final rule with comment period (final rule) that will update payment policies and payment rates for services furnished to Medicare beneficiaries in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) beginning Jan. 1, 2012.
Press Release CMS ANNOUNCES POLICY, PAYMENT RATE CHANGES FOR THE PHYSICIAN FEE SCHEDULE IN 2012
The Centers for Medicare & Medicaid Services (CMS) today issued a final rule with comment period that updates payment policies and rates for physicians and nonphysician practitioners (NPPs) for services paid under the Medicare Physician Fee Schedule (MPFS) in calendar year (CY) 2012.
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