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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 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 MEDICARE GIVES EMPLOYERS, CONSUMERS INFORMATION TO MAKE BETTER HEALTH CARE CHOICES
Health care law will allow patients to compare options, find best value
Press Release MEDICARE EXPANDING COMPETITIVE BIDDING PROGRAM TO SAVE BILLIONS
The Centers for Medicare & Medicaid Services (CMS) today announced operational details for the next stage in a program that sets new, lower payment rates for certain medical equipment and supplies – such as oxygen equipment, walkers, and some types of power wheelchairs – while maintaining patient access to them.
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.
Press Release PHYSICIAN GROUP PRACTICE DEMONSTRATION SUCCEEDS IN IMPROVING QUALITY AND REDUCING COSTS
Today the Centers for Medicare and Medicaid Services (CMS) announced results from the initial Physician Group Practice (PGP) Demonstration, a landmark partnership with physician group practices that aims to better coordinate care across different settings, leading to improved quality and cost savings.
Press Release CMS ANNOUNCES MORE ACCURATE FY 2012 PAYMENTS FOR MEDICARE SKILLED NURSING FACILITIES
The Centers for Medicare & Medicaid Services (CMS) today announced a final rule reducing Medicare skilled nursing facility (SNF) Prospective Payment System (PPS) payments in FY 2012 by $3.87 billion, or 11.1 percent lower than payments for FY 2011.
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