CMS Says It’s ‘Modernizing’ Medicare by Reducing Paperwork

Today, the Centers for Medicare & Medicaid Services (CMS) proposed what it is calling “historic changes” that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system […]

Read the rest of this entry »
GoTo top Top

U.S. to Spend $685 Billion on Health Care Coverage for Those Under 65 in 2018

The federal government subsidizes health insurance for most Americans through a variety of programs and tax provisions. In 2018, net subsidies for non-institutionalized people under age 65 will total $685 billion, the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) estimate. That amount includes the cost of preferential tax […]

Read the rest of this entry »
GoTo top Top

CMS Draws Line in Sand on Medicaid Caps

Seema Verna, administrator of the Centers for Medicare and Medicaid Services (CMS), today rejected a request by the state of Kansas to cap an individual’s Medicaid benefits at three years. In a letter to Kansas officials, Verna noted that only if Medicaid recipients refused to meet any work requirements would it be possible to cut […]

Read the rest of this entry »
GoTo top Top

CMS Seeks More Control Over Medicare Advantage Plans

The Centers for Medicare and Medicaid Services (CMS) is seeking public comment before it submits a proposal for more review power over Medicare Advantage plans in order “to provide adequate access to covered services to meet the needs of the population served.” The CMS says it will submit the broader review plan to the Office […]

Read the rest of this entry »
GoTo top Top

Private Insurers Pay Twice (or More) for Physician, Hospital Services than Medicare

At the same time that it issued its assessment of the Senate’s new health care plan, the Congressional Budget Office (CBO) released a related report comparing physician and hospital costs when paid by private insurers and when paid by Medicare and Medicare Advantage. The CBO found the average commercial payment rate for hospital admission was […]

Read the rest of this entry »
GoTo top Top

Hospital Quality Rating System Delayed by CMS

Is that hospital where you just had open-heart surgery a five star or a one star? You’ll have to wait until July, at the earliest, to find out. The Centers for Medicare and Medicaid Services (CMS) yesterday delayed implementation of its hospital quality rating system that was set to debut this week amid questions about […]

Read the rest of this entry »
GoTo top Top

CMS Seeks to Cut Medicare Drug Payments

The Centers for Medicare & Medicaid Services (CMS) has announced a proposed rule to test new models to improve how Medicare Part B pays for prescription drugs and supports physicians and other clinicians in delivering higher quality care. CMS values public input and comments as part of the rulemaking process, and looks forward to continuing […]

Read the rest of this entry »
GoTo top Top

Study Touts Success of Obamacare

Using results from the 2012-2015 Gallup-Healthways Well-Being Index (a daily national telephone survey of 507,055 adults aged 18-64), Journal of the American Medical Association (JAMA) analysts reported today that Obamacare has decreased the medically uninsured by 7.9 percent and  achieved significant improvement in access to health care and medications. The study, “Changes in Self-reported Insurance Coverage, […]

Read the rest of this entry »
GoTo top Top

Medicare Fraud Sweep Bags 243 on Charges of $712 Million in False Billing

A nationwide sweep led by the Medicare Fraud Strike Force in 17 districts has resulted in charges against 243 individuals, including 46 doctors, nurses and other licensed medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $712 million in false billings. In addition, the Centers for Medicare & Medicaid Services (CMS) also […]

Read the rest of this entry »
GoTo top Top

HHS to Shift Medicare Payment Basis

In a meeting with nearly two dozen leaders representing consumers, insurers, providers, and business leaders, Health and Human Services Secretary Sylvia M. Burwell yesterday announced measurable goals and a timeline to move the Medicare program, and the health care system at large, toward paying providers based on the quality, rather than the quantity of care […]

Read the rest of this entry »
GoTo top Top