New Approach to Readmissions Program Takes Effect
Medicare’s hospital readmissions reduction program is moving in a new direction beginning in FY 2019 after Congress directed the Centers of Medicare & Medicaid Services to compare hospitals’ performance on readmissions to similar hospitals instead of to all hospitals. The [...]
Verma Speaks at Medicaid Managed Care Summit
Centers for Medicare & Medicaid Services administrator Seema Verma recently addressed the Medicaid Managed Care Summit, which was held in Washington, D.C. Ms. Verma’s speech focused on four major areas: Empowering states to function as laboratories for innovation by giving [...]
OIG: Medicare Advantage Plans May be Denying Access to Save Money
The Office of the Inspector General of the U.S. Department of Health and Human Services is concerned that Medicare Advantage plans may be denying their members access to services to save money and increase profits. According to the OIG, those [...]
New Approach to Readmissions Program to Take Effect October 1
Medicare’s hospital readmissions reduction program will move in a new direction beginning in FY 2019 after Congress directed the Centers of Medicare & Medicaid Services to compare hospitals’ performance on readmissions to similar hospitals instead of to all hospitals. The [...]
States Pursuing Medicaid Reforms
A new Commonwealth Fund report looks at some of the changes states are pursuing in how they deliver and pay for care for their Medicaid recipients. The review groups the reforms into three categories: Managed care reforms – demanding more [...]
NAUH Opposes Proposed Medicare Outpatient Regulation
In a letter to the Centers for Medicare & Medicaid Services, NAUH has conveyed its opposition to aspects of CMS’s proposed Medicare outpatient prospective payment system regulation for 2019. Once adopted, this regulation will determine how the federal government pays [...]
CMS Proposes Easing Regulatory Requirements
In a newly proposed rule, the Centers for Medicare & Medicaid Services proposes easing the regulatory burden on health care providers. The proposed regulation, which weighs in at 285 pages, covers a broad range of government regulation of health care [...]
MACPAC Meets
The Medicaid and CHIP Payment and Access Commission met recently in Washington, D.C. to review a number of Medicaid- and CHIP-related issues. MACPAC members heard presentations on and discussed the following issues: Multistate Collaboration: Panel on State Perspectives Themes from [...]
Ways and Means Praises CMS for Red Tape Efforts, Seeks More
Leaders of the House Ways and Means Committee have written to Centers for Medicare & Medicaid Services administrator Seema Verma to praise her agency’s work in eliminating Medicare red tape – but also asking her to “…take further steps to [...]
MedPAC Meets
The Medicare Payment Advisory Commission met last week in Washington, D.C. to address a number of Medicare reimbursement-related issues. Among the subjects on MedPAC’s agenda were: a unified payment system for post-acute care long-term-care hospitals physician payments next steps in [...]
