Posts filtered by tags: Centers for Medicare[x]


The Trump administration just gave a big boost to a new kind of doctor's office that charges monthly fees and could be the future of medicine

On Monday, Department of Health and Human Services Secretary Alex Azar announced an initiative that could upend the way healthcare for seniors is paid for.  Instead of paying doctors based on the number of visits or procedures they do, the initiative would have the Centers for Medicare and Medicaid Services pay doctors on a per member per month basis to take care of individuals in Medicare, the US health program for the elderly and disabled. The goal is to free doctors up to do more follow-up ...
Tags: US, Trends, Cms, Medicare, North Carolina, Trump, Phoenix, Humana, Centers for Medicare, Medicaid Services, Department of Health and Human Services, Blue Cross Blue Shield of North Carolina, Humana Medicare Advantage, Iora Health, Alex Azar, Rushika Fernandopulle

How Medicare Advantage Changes Could Impact the Reverse Mortgage Market

Proposed changes to health insurance plans used by millions of Americans could have some bearing on the future of the reverse mortgage marketplace, should those changes take effect in 2020. The Centers for Medicare and Medicaid Services (CMS) announced last week that private Medicare Advantage (MA) plans will expand the scope of their coverage starting in calendar year 2020, including new additions for chronically ill enrollees that are often associated with the reasons a senior borrower may ...
Tags: Featured, Finance, Cms, United States, Medicare, Products, Ma, Centers for Medicare, Medicare Advantage, Centers For Medicare And Medicaid Services, Cy, Medicaid Services CMS, Henry J Kaiser, PPO, HECM, Hmo

This Week: Kushner’s Security Clearance Mess, And His Other Messes

We were already familiar with reports that President Donald Trump used his executive authority to get Jared Kushner a security clearance despite concerns raised by the CIA and others. What we didn’t know, until this week, was how many others received their clearances despite background checkers’ concerns: According to whistleblower Tricia Newbold, 25 people have obtained security clearances after Trump officials overturned earlier decisions to deny them. Newbold also testified that Kushner w...
Tags: News, Washington Post, White House, Politico, Dhs, Fbi, New York Times, Fox News, Secret Service, State Department, Cia, Interior Department, Donald Trump, Trump, Interior, Centers for Medicare

Symposium: June Medical should be summarily reversed

Jonathan B. Miller is Chief of the Public Protection & Advocacy Bureau in the Office of the Massachusetts Attorney General. The views expressed here do not necessarily represent the views of the Massachusetts Attorney General or the Office. June Medical Services, LLC v. Gee potentially presents an opportunity for the newest lineup of the Supreme Court, including Justice Brett Kavanaugh, to revisit constitutional protection of abortion. In a move that surprised many, the justices stayed the U.S. ...
Tags: Health, Texas, Featured, Supreme Court, Law, Massachusetts, Citizens United, Medicare, Louisiana, Trump, John Roberts, Centers for Medicare, Medicaid Services, U S Court of Appeals, Federal Election Commission, Bullock

Idaho submits Medicaid expansion plan for federal review

BOISE, Idaho (AP) — Idaho officials have sent a plan to expand Medicaid to the federal government for approval. The Post Register reports in a story on Friday that the Idaho Department of Health and Welfare sent the proposal to the Centers for Medicare and Medicaid Services. Department of Health and Welfare spokeswoman Lisa Hettinger […]
Tags: News, Idaho, Medicaid, Northwest, Boise, Idaho Department of Health and Welfare, Centers for Medicare, Idaho AP, The Post Register, Medicaid Services Department of Health and Welfare, Lisa Hettinger

We got a look at the slide deck that buzzy startup Devoted Health used to hit a $1.8 billion valuation, before it signed up any customers

Devoted Health, a buzzy Medicare Advantage startup that raised $300 million in a massive funding round ahead of its first year offering health plans, has ambitious plans to grow its business over the next five years.  Medicare Advantage is the private version of the US government health program for the elderly. Startups and established health insurers are rapidly expanding in the program. Business Insider has learned that Devoted Health, which launched its first plans in Florida this year, pla...
Tags: Amazon, Florida, Microsoft, Obama, US, America, Trends, Medicare, Ed, Andreessen Horowitz, Anderson, Clover Health, Venrock, Business Insider, Todd, Centers for Medicare

Inspectors fault practices at Alaska Psychiatric Institute

ANCHORAGE, Alaska (AP) — Federal investigators found more than 80 substantial deficiencies at the Alaska Psychiatric Institute from July to December. The Anchorage Daily News reports each deficiency chronicled by investigators from the Centers for Medicare and Medicaid Services was deemed an “immediate jeopardy” to patient safety. Federal inspectors visited API last summer and put […]
Tags: News, Ap, Northwest, Anchorage Daily News, Centers for Medicare, Medicaid Services, Anchorage Alaska, Alaska Psychiatric Institute

Alphabet-backed Medicare Advantage startup Clover Health raises $500M

Despite a number of well-publicized hiccups, venture capitalists are betting another $500 million on health insurance provider Clover Health, TechCrunch has learned. Existing investor Greenoaks Capital led the round, according to the startup, which confirmed it was closing a new round of capital in the coming weeks. Clover Health has raised a total of $925 million to date, garnering a valuation of $1.2 billion with a $130 million Series D funding in 2017. The company, backed by Alphabet’s ...
Tags: Health, Startups, Texas, Funding, San Francisco, Tech, New Jersey, Venture Capital, Andreessen Horowitz, Cnbc, Redpoint Ventures, Cto, Greenoaks Capital, Alphabet, Bessemer Venture Partners, Clover

United States: CMS Releases Guidance On MSSP ACO Waiver For SNF 3-Day Rule - Day Pitney LLP

In January, the Centers for Medicare and Medicaid Services (CMS) published very helpful guidance on the implementation of the waiver of the Skilled Nursing Facility (SNF) 3-Day Rule for certain Medicare Shared Savings Program (MSSP) ACOs.
Tags: News, Cms, United States, Centers for Medicare, Medicaid Services CMS, Medicare Shared Savings Program, Pitney LLP, SNF

California moves toward healthcare for more, not yet healthcare for all

Elizabeth Aguilera Contributor Share on Twitter Elizabeth Aguilera is an award-winning multi-media journalist who will cover health and social services for CALmatters. She joins CALmatters from Southern California Public Radio/KPCC 89.3, where she produced stories about community health. It was way easier for candidate Gavin Newsom to endorse  single-payer healthcare  coverage for everyone than it is now for Gov. Newsom to ...
Tags: Health, Column, Obamacare, Congress, California, Articles, Tech, Policy, Healthcare, Health Insurance, Medicare, Jerry Brown, Uc-berkeley, Director, Medicaid, Federal Government

United States: Court Issues Permanent Injunction Blocking Medicare 340B Payment Cuts - McDermott Will & Emery

On December 27, 2018, the US District Court for the District of Columbia held that the Centers for Medicare and Medicaid Services (CMS) exceeded its authority when it dramatically reduced Medicare payment rates for drugs purchased through the federal 340B drug discount program.
Tags: News, United States, Medicare, Emery, McDermott, Centers for Medicare, Medicaid Services CMS, US District Court for the District of Columbia

ACR expresses its continuing concern with recent CMS policy

In comments submitted to the Centers for Medicare and Medicaid Services, the American College of Rheumatology expressed its continuing concern with a recent CMS policy allowing Medicare Advantage plans to utilize step therapy for Part B drugs.
Tags: Health, Cms, Acr, Centers for Medicare, Medicare Advantage

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 breach, government confirms

Hackers siphoned off thousands of 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