Managed care is the predominant delivery system in Medicaid and the Children’s Health Insurance Program (CHIP), with over 70% of Medicaid and CHIP beneficiaries receiving some or all of their care through a managed care plan.[1],[2] In recent years, CMS and states have strived to
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Fact Sheets
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CMS Round Up
Today, the Centers for Medicare & Medicaid Services (CMS) provides an at-a-glance summary of news from around the agency.
CMS Releases Medicaid School-Based Services Technical Assistance Center FAQs
April 5: CMS released the first set of Medicaid School-Based Services (SBS)
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Press Releases
CMS is committed to protecting consumers in the Marketplace. CMS has received reports of consumers in HealthCare.gov states whose coverage was switched by agents and brokers without their knowledge. In response, CMS is taking swift actions to protect consumers from unauthorized
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Fact Sheets
On April 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) proposed rule.
The proposed rule would update
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Press Releases
New Mandatory Model Proposed to Improve Health Outcomes Post-Surgery and Advance Climate Resiliency
Today, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating Medicare payments and policies for inpatient hospitals and long-term care hospitals. The
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CMS Round Up
Today, the Centers for Medicare & Medicaid Services (CMS) provides an at-a-glance summary of news from around the agency.
CMS Updates Medicare Part B Quarterly Average Sales Pricing Files
March 26: Under the Medicare Prescription Drug Inflation Rebate Program, some people with