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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

New consumer decision support features now available at HealthCare.gov

As consumers count down to the December 15 enrollment deadline for January 1 coverage, the Centers for Medicare & Medicaid Services (CMS) announced today that new HealthCare.gov consumer decision support features piloted earlier this enrollment season will now be fully deployed to all visitors.
Press Release

AFFORDABLE CARE ACT PROGRAM TO IMPROVE HOSPITAL CARE FOR PATIENTS

The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would establish a new hospital value-based purchasing program that would reward hospitals for providing high quality, safe care for patients.
Press Release

NEW TECHNOLOGY TO HELP FIGHT MEDICARE FRAUD

On the heels of the White House launch of the Campaign to Cut Waste - an administration wide initiative to crack down on waste, fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) announced today that starting July 1, it will begin using innovative predictive modeling technology to fight Medicare fraud.
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.
Press Release