CMS Issues Guidance on Medicaid Managed Care Rate-Setting
The federal government has provided new guidance to states concerning how to ensure that the rates they pay Medicaid managed care organizations are adequate. While federal law has long required that such rates be “actuarially sound,” the Centers for Medicare [...]
NAUH Comments on Proposed Medicare Regulation (Part 4 of 4)
On April 30, the Centers for Medicare & Medicaid Services (CMS) published a 1500-page draft regulation detailing how it proposed paying hospitals for the inpatient care they provide to their Medicare patients in FY 2016 and invited comment on its [...]
NAUH Comments on Proposed Medicare Regulation (Part 3 of 4)
On April 30, the Centers for Medicare & Medicaid Services (CMS) published a 1500-page draft regulation detailing how it proposed paying hospitals for the inpatient care they provide to their Medicare patients in FY 2016 and invited comment on its [...]
NAUH Comments on Proposed Medicare Regulation (Part 2 of 4)
On April 30, the Centers for Medicare & Medicaid Services (CMS) published a 1500-page draft regulation detailing how it proposed paying hospitals for the inpatient care they provide to their Medicare patients in FY 2016 and invited comment on its [...]
NAUH Comments on Proposed Medicare Regulation (Part 1 of 4)
On April 30, the Centers for Medicare & Medicaid Services (CMS) published a 1500-page draft regulation detailing how it proposed paying hospitals for the inpatient care they provide to their Medicare patients in FY 2016 and invited comment on its [...]
MACPAC Reports to Congress
The Medicaid and CHIP Payment and Access Commission (MACPAC) has released its second of two 2015 reports to Congress on Medicaid and the Children’s Health Insurance Program (CHIP). In the report, the agency looks at the role of Medicaid in [...]
MedPAC Sends Annual Report to Congress
As required by law, the independent federal agency that advises Congress on Medicare payment issues has transmitted its annual report to Congress with its observations, analysis, and policy recommendations. The June 2015 report of the Medicare Payment Advisory Commission (MedPAC) [...]
Variations on Medicaid Expansion
While most states that have taken advantage of the Affordable Care Act’s Medicaid expansion have simply expanded their existing Medicaid programs to incorporate the newly eligible, six states have taken a different path, pursuing what are known as section 1115 [...]
“Medical Homes” Shows Potential in New Study
While the “medical homes” approach to coordinating care has received mixed reviews in a number of studies, a new report suggests that the approach still has potential – under the right conditions. According to a study published in JAMA Internal [...]
30-Day Readmission Standard Flawed, Study Suggests
A new study raises the possibility that Medicare’s policy of penalizing hospitals that readmit patients within 30 days of their discharge may be flawed. According to a new report in the Annals of Internal Medicine, risk factors for readmission often [...]
