Posts filtered by tags: Centers for Medicare[x]


 

UK: Hospital Court Victories Trigger CMS To Walk-Back Rule Lowering Caps On Medicaid DSH Payments - Squire Patton Boggs LLP

The Centers for Medicare and Medicaid Services (CMS) has withdrawn a controversial policy, first introduced in 2010, which changes how much a Medicaid disproportionate share hospital (DSH) may receive annually in supplemental DSH payments.
Tags: UK, News, Centers for Medicare, Medicaid Services CMS, Medicaid DSH Payments Squire Patton Boggs LLP


Regenstrief scientist visits CMS to create access to better care for Americans with dementia

A Regenstrief scientist is calling on the Centers for Medicare and Medicaid Services to create access to better care for the 20 million Americans affected by Alzheimer's disease and related dementias - both patients and their caregivers.
Tags: Health, Cms, Centers for Medicare, Medicaid Services


United States: "Pathways To Success:" CMS Publishes Final Rule Modifying The Medicare Shared Savings Program - Foley & Lardner

The Centers for Medicare and Medicaid Services (CMS) issued a final rule (the Rule) on December 21, 2018, which reshapes the Medicare Shared Savings Program (MSSP).
Tags: News, Cms, United States, Centers for Medicare, Medicaid Services CMS, Lardner, Medicare Shared Savings Program, Medicare Shared Savings Program Foley


Memory and cognition problems affect recovery in rehabilitation facilities

Recently, the Centers for Medicare and Medicaid Services (CMS) added new ways to measure patients' abilities to perform their daily routines in nursing facilities and other after-care settings. Studies have not examined how skilled nursing care residents who have cognitive difficulties perform on the new self-care and mobility measurements. Researchers designed a new study to fill that knowledge gap. The study was published in the Journal of the American Geriatrics Society.
Tags: Centers for Medicare, Medicaid Services CMS


Obamacare Sign-Ups Beat Forecast Despite GOP Efforts To Undermine Law

WASHINGTON (AP) — The Affordable Care Act has yet again beaten predictions of its downfall, as government figures released Wednesday showed unexpectedly solid sign-ups for coverage next year. The Centers for Medicare and Medicaid Services said nearly 8.5 million people had enrolled as of last Saturday’s deadline, with about a dozen states still left to report. Though the final count won’t be known for a few months, it will be higher. Wednesday’s number was about 4 percent below a comparable s...
Tags: Texas, News, Congress, Washington, Cms, Chicago, Irs, Chinatown, Trump, Centers for Medicare, Medicaid Services, Scott Olson Getty, Verma, Matt Shuham, Seema Verma, Chris Sloan


Obama health law sign-ups beat forecast despite headwinds

WASHINGTON (AP) — The government says sign-ups for Affordable Care Act coverage next year are better than expected, with 8.5 million enrolled. That’s despite low expectations and a recent court ruling that “Obamacare” is unconstitutional. Wednesday’s numbers from the Centers for Medicare and Medicaid Services are not final, so the count will go higher. At […]
Tags: Health, News, Obama, Washington, Ap, Centers for Medicare, Medicaid Services


Studio City woman claims Pasadena plastic surgeon ‘experimented’ on her and altered medical records to hide it

If money was her only goal, Wendy Knecht could have walked away when she settled her lawsuit against a Pasadena plastic surgeon for $1 million. Instead, the Studio City woman is taking her case to the state, encouraging authorities to prosecute Dr. Max Lehfeldt’s for altering her medical records after she sued the physician for using an experimental device in her breast reconstruction. Knecht claimed in her 2016 suit that she was left disfigured and forced to undergo three additional surgeries t...
Tags: Health, News, California, Sport, Hospital, Soccer, Fda, Allergan, Pasadena, Los Angeles Times, Arcadia, American Bar Association, Morgan, U S Food and Drug Administration, Sutton, Centers for Medicare


United States: CMS Issues Proposed Rule On Modernizing Part D And Medicare Advantage To Lower Drug Prices And Reduce Out-Of-Pocket Expenses - Sheppard Mullin Richter & Hampton

The Centers for Medicare and Medicaid Services ("CMS") released the much-anticipated proposed rule to lower Part D and Medicare Advantage ("MA") drug prices and beneficiary out-of-pocket expenses on November 26, 2018 (the "Proposed Rule").
Tags: News, Cms, United States, Hampton, Centers for Medicare, Medicaid Services CMS, Mullin Richter, Medicare Advantage MA


For large health systems, telehealth programs mean challenges and results

Increasingly, major health systems throughout the country are implementing telehealth programs in an effort to increase access and improve patient experiences. This move is made possible by more support from insurance payers, including the Centers for Medicare and Medicaid Services, who recently announced a proposal to expand telehealth access for Medicare recipients. However, as a new report in the December issue of Health Affairs details, incorporating video visits and other forms of telehealt...
Tags: Science, Medicare, Centers for Medicare, Medicaid Services


States may now broaden mental health treatment under Medicaid

The Centers for Medicare and Medicaid Services may now allow for states to pursue Medicaid reimbursements for short-term inpatient treatment in mental health facilities despite a decades-old exclusion, Health and Human Services Secretary Alex Azar announced Tuesday.
Tags: Cnn, Medicaid, Centers for Medicare, Medicaid Services, Alex Azar


Cedar Gate Technologies beefs up board with new addition

Greenwich, Connecticut-based Cedar Gate Technologies, a care performance management analytic company, has named Dr. Lee Bernard Sacks to its board of directors. Recently, Sacks was the chief medical officer of Advocate Aurora Health. In 2014, Cedar Gate was formed by GTCR and David Snow. PRESS RELEASE GREENWICH, Conn., Nov. 13, 2018 /PRNewswire/ — Cedar Gate Technologies today announced that Lee Bernard Sacks, M.D. has been elected to its Board of Directors, adding valuable clinical expertise an...
Tags: Trends, Cms, People, Chicago, Illinois, CGT, Fortune, Centers for Medicare, GREENWICH Conn, GHA, Sacks, Medicaid Services CMS, Greenwich Connecticut, David Snow, Epstein Becker Green, GTCR


Penn Study shows regular behavioral counseling leads to clinically significant weight loss

Intensive behavioral therapy (IBT), which provides diet and physical activity counseling, is proven to help adults with obesity achieve meaningful weight loss in six to 12 months. A new Penn Medicine study, published today in Obesity, the journal of the Obesity Society, is the first randomized controlled evaluation of the efficacy of IBT when implemented under the Centers for Medicare and Medicaid Services (CMS) coverage guidelines
Tags: Centers for Medicare, Penn Medicine, IBT, Medicaid Services CMS, Obesity Society, Penn Study


United States: Telehealth-Related Updates Included In 2019 Medicare Physician Fee Schedule - McDermott Will & Emery

On November 1, 2018, the Centers for Medicare and Medicaid (CMS) issued final rules for updating the 2019 Medicare Physician Fee Schedule
Tags: News, United States, Emery, McDermott, Centers for Medicare, Medicaid CMS


Hackers stole income, immigration and tax data in Healthcare.gov breach, government confirms

Hackers siphoned off thousands of Healthcare.gov applications by breaking into the accounts of brokers and agents tasked with helping customers sign up for healthcare plans. The Centers for Medicare and Medicaid Services (CMS) said in a post buried on its website that found that the hackers obtained “inappropriate access” to a number of broker and agent accounts, which “engaged in excessive searching” of the government’s healthcare marketplace systems. CMS didn’t say how the attackers gained acc...
Tags: Obama, Tech, Cms, Social Security, Healthcare, Centers for Medicare, Medicaid Services CMS, Andrew Blaich, Device Intelligence


Prop. 8 puts union interests above dialysis patients’ health

The profitability of private dialysis centers seems a strange topic for voters to weigh in on—and there is a reason for that. Proposition 8 is the latest attempt by a union to score points against an industry that it has failed for years to unionize. So here we are: dictating private business practices and the fate of dialysis patients at the ballot box. Service Employees International Union-United Healthcare Workers West is one of the largest unions of hospital workers in the western United Sta...
Tags: California, Opinion, Senate, Sport, Soccer, United States, Medicare, SEIU, Jerry Brown, Oakland, State, Assembly, San Francisco Chronicle, Centers for Medicare, Independent Institute, Chronicle


ACP appreciates final Medicare Physician Fee Schedule and QPP rules for 2019

The American College of Physicians appreciates that the final Medicare Physician Fee Schedule and the Quality Payment Program rules for 2019 are responsive to many of the concerns that ACP raised with the Centers for Medicare and Medicaid Services.
Tags: Health, Centers for Medicare, ACP, American College of Physicians


CMS Approves Scott Walker’s Medicaid Work Requirements

MADISON, Wis. (AP) — President Donald Trump’s administration on Wednesday rejected a plan from Wisconsin Gov. Scott Walker to require drug screening and testing for adults on Medicaid with no dependent children, but approved a wide array of other get-tough changes to the program. Walker, who is seeking a third term in Tuesday’s election, argued the changes would better prepare Medicaid recipients to get a job. Walker’s administration agreed to revise the drug-testing plan amid concerns identif...
Tags: News, Cms, Wisconsin, Scott Walker, Donald Trump, Medicaid, Legislature, Walker, Centers for Medicare, Medicaid Services, Madison Wis, Evers, Tony Evers, Seema Verma, Summer Concepcion, Medicaid Work Requirements


Television Advertising and Health Insurance Marketplace Consumer Engagement in Kentucky: A Natural Experiment

Background: Reductions in health insurance enrollment outreach could have negative effects on the individual health insurance market. Specifically, consumers may not be informed about the availability of coverage, and if some healthier consumers fail to enroll, there could be a worse risk pool for insurers. Kentucky created its own Marketplace, known as kynect, and adopted Medicaid expansion under the Affordable Care Act, which yielded the largest decline in adult uninsured rate in the United St...
Tags: Health, Kentucky, United States, Centers for Medicare, Kentucky Health Benefit Exchange, Kentucky Advertising


United States: Proposed Rule Would Require List Price Disclosure On Consumer Prescription Drug Ads - Foley Hoag LLP

Check out our recent Alert on the Centers for Medicare and Medicaid Services proposed new rule, which would require prescription drug companies to disclose list prices of most drugs in all direct-to-consumer advertising.
Tags: News, United States, Centers for Medicare, Medicaid Services, Consumer Prescription Drug Ads Foley Hoag LLP


Hackers Breach Healthcare.gov System And Obtain Data On 75,000

WASHINGTON (AP) — A government computer system that interacts with HealthCare.gov was hacked earlier this month, compromising the sensitive personal data of some 75,000 people, officials said Friday. The Centers for Medicare and Medicaid Services made the announcement late in the afternoon ahead of a weekend, a time slot agencies often use to release unfavorable developments. Officials said the hacked system was shut down and technicians are working to restore it before sign-up season starts ...
Tags: News, Washington, Barack Obama, Cms, Ap, Social Security, Donald Trump, Centers for Medicare, Medicaid Services, Kate Riga, Hackers Breach Healthcare, Johnathan Monroe


Hackers breach Healthcare.gov system, taking files on 75,000 people

A government system used by insurance agents and brokers to help customers sign up for healthcare plans was breached, allowing hackers to siphon off sensitive and personal data on 75,000 people. The Centers for Medicare and Medicaid Services confirmed the breach in a late Friday announcement, but revealed few details about the contents of the files stolen. The hacked system was connected to the Healthcare.gov website, the front-facing portal for  anyone signing up for an insurance plan under for...
Tags: Health, Security, Obama, Tech, Cms, Hack, President, Healthcare, Medicare, Healthcare.gov, Centers for Medicare, Medicaid Services, Jonathan Monroe


United States: HHS Releases Plan To Require Drug Makers To List Prices On TV Ads - Cooley LLP

Yesterday, the Department of Health and Human Services ("HHS") through the Centers for Medicare and Medicaid Services ("CMS")
Tags: News, United States, Department of Health and Human Services HHS, Centers for Medicare, Cooley LLP


Trump Admin Proposes Weakening Rules Governing Organ Transplant Centers

The revised rules, proposed this week as part of the agency’s efforts to reduce “burdensome” federal regulations, would no longer penalize hospitals if too many of their patients die following transplants. St. Luke’s in Houston recently lost its Medicare funding for heart transplants for that very reason. The Trump administration this week proposed eliminating a decade-old regulation that puts hospitals at risk of losing their Medicare funding if too many of their patients die or suffer orga...
Tags: News, White House, Cms, Arizona, Medicare, Houston, George W Bush, San Antonio, South Carolina, Trump, Charleston, Aguiar, Houston Chronicle, St Luke, Cleveland Clinic, Charleston South Carolina


Project Veritas Catches Deep State Redhanded ~ Must See VIDEOS

Project Veritas Catches Deep State Redhanded U.S.A. –-(Ammoland.com)- We've long known that unelected leftist bureaucrats embedded in the bowels of the federal government have been lawlessly targeting conservatives and abusing their power to thwart the agenda of duly elected Republican policymakers. The proof keeps pouring in.The Obama administration's IRS deliberately discriminated against conservative groups in their applications for tax-exempt status. This isn't an empty partisan allegation...
Tags: Guns, Obama, Democrats, Homeland Security, State Department, Department Of Justice, Donald Trump, Doj, Justice Department, Irs, Tea Party, Veritas, Trump, Nixon, U S Department of Agriculture, Centers for Medicare


Project Veritas Catches Deep State Redhanded

Project Veritas Catches Deep State Redhanded U.S.A. –-(Ammoland.com)- We've long known that unelected leftist bureaucrats embedded in the bowels of the federal government have been lawlessly targeting conservatives and abusing their power to thwart the agenda of duly elected Republican policymakers. The proof keeps pouring in.The Obama administration's IRS deliberately discriminated against conservative groups in their applications for tax-exempt status. This isn't an empty partisan allegation...
Tags: Guns, Obama, Democrats, Homeland Security, State Department, Department Of Justice, Donald Trump, Doj, Justice Department, Irs, Tea Party, Veritas, Trump, Nixon, U S Department of Agriculture, Centers for Medicare


KKR leads $57 mln round for Clarify Health

Clarify Health Solutions Inc said Sept. 10 that it raised $57 million in Series B funding led by KKR. Clarify Health, of San Francisco, provides care guidance technology. PRESS RELEASE SAN FRANCISCO & NEW YORK–(BUSINESS WIRE)– Clarify Health Solutions, Inc. (“Clarify” or the “Company”), a pioneer in real-time care guidance technology, today announced that it has closed $57 million in a Series B financing round led by KKR, a global investment firm. Building upon the Company’s rapid customer expan...
Tags: San Francisco, Trends, Cms, Healthcare, Medicare, QE, KKR, Company, Centers for Medicare, Medicaid Services CMS, PE Deals, KKR KKR, Ali Satvat, KKR s Health Care Strategic Growth, KKR Co Inc, Clarify Health Solutions Inc


ACR cautions policymakers that reducing E/M services can compromise patient access to care

In comments submitted to the Centers for Medicare and Medicaid Services regarding the 2019 Medicare Physician Fee Schedule proposed rule, the American College of Rheumatology cautioned policymakers against implementing a proposal to reduce physician reimbursement for evaluation and management services, arguing that doing so could severely compromise patient access to care and further exacerbate the growing rheumatology workforce shortage.
Tags: Health, Acr, Centers for Medicare, Medicaid Services, American College of Rheumatology


United States: CMS Proposes To Overhaul The Medicare Shared Savings Program - Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.

On August 9, 2018, the Centers for Medicare and Medicaid Services issued a proposed rule to overhaul the Medicare Shared Savings Program
Tags: News, Cms, United States, Centers for Medicare, Medicaid Services, Popeo


126 patient and provider groups to CMS: Proposed E/M service cuts will hurt sickest patients

A broad coalition of 126 patient and provider groups -- led by leading national organizations including the American College of Rheumatology -- today sent a letter to the Centers for Medicare and Medicaid Services (CMS) urging the agency not to move forward with a proposal that would significantly reduce Medicare reimbursements for evaluation and management (E/M) services provided by specialist.
Tags: Medicare, Centers for Medicare, Medicaid Services CMS, American College of Rheumatology


4 ways the Trump administration wants to change Medicare

The Centers for Medicare and Medicaid Services has issued a slew of proposed rules that would change how doctors and hospitals are paid for treating senior citizens and give insurers in the Medicare Advantage program more control over the medications doctors can prescribe.
Tags: Cnn, Medicare, Trump, Centers for Medicare, Medicaid Services, Medicare Advantage