Category: CMS
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Morning Headlines 6/2/15
New Medicare data available to increase transparency on hospital and physician utilization CMS releases its latest Medicare payment dataset, covering all inpatient and outpatient hospital billing and reimbursement figures for 2013. The latest data breaks down what hospitals charged, and what Medicare reimbursed, for the 100 most common inpatient DRGs and outpatient procedures. AMA Weighs…
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CMS Releases Medicare Payment and Utilization Data
The Centers for Medicare and Medicaid Services released a trove of Medicare data this week at the annual Health Datapalooza conference in Washington, D.C. in what has become a yearly ritual for the agency. The Centers for Medicare and Medicaid Services released a trove of Medicare data this week at the annual Health Datapalooza conference…
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CMS Proposes Major Changes to Medicaid and Children’s Health Insurance Program Regs
This week, CMS announced a proposed rule to better align the regulations governing Medicaid and the Children’s Health Insurance Program to make them more consistent with the federal rule governing other insurance plans This week, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to better align the regulations governing Medicaid and…
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Medicaid managed care organization rule supports EHRs, health info exchange
The new proposed rule that updates the Centers for Medicare & Medicaid Services’ Medicaid managed care organization (MCO) regulations supports both electronic health record systems and health information exchange. read more …read more Source:: http://www.fiercehealthit.com/story/medicaid-managed-care-organization-rule-supports-ehrs-health-info-exchange/2015-05-28?utm_medium=rss&utm_source=rss&utm_campaign=rss
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States may not save much money by ending adult dental coverage under Medicaid: Study
A new study suggests that states may not save as much money as anticipated by eliminating adult dental coverage under Medicaid. …read more Source:: http://www.news-medical.net/news/20150528/States-may-not-save-much-money-by-ending-adult-dental-coverage-under-Medicaid-Study.aspx
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Morning Headlines 5/28/15
Medicaid rule could extend health IT support to behavioral health, long-term care A newly proposed CMS rule governing Medicaid managed-care plans has implications on health IT. The rule authorizes state Medicaid programs to offer incentive payments for organizations that do not qualify to participate in the Meaningful Use program, like behavioral health providers and long-term…
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Medicaid Costs and the Logic of IT-Facilitated Population Health: Yakima Valley Knows
0 New GAO statistics speak to the need for innovative approaches to managing the care of Medicaid enrollees—such as those being pioneered by organizations like the Yakima Valley Farm Workers Clinic Statistics just published by the federal General Accounting Office (GAO) point to some challenging truths for the Medicaid program, which together with the Children’s…
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PCMA releases new ad campaign to highlight lower-cost preferred pharmacy plans in Medicare
The Pharmaceutical Care Management Association today released a new ad campaign – “We Love our Preferred Pharmacy Plan” – highlighting the popularity and convenience of lower cost preferred pharmacy plans in Medicare. …read more Source:: http://www.news-medical.net/news/20150512/PCMA-releases-new-ad-campaign-to-highlight-lower-cost-preferred-pharmacy-plans-in-Medicare.aspx
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HIT Policy Committee workgroups: Stage 3 rule in need of fine-tuning
The Health IT Policy Committee workgroups agree with much, but not all of the Centers for Medicare & Medicaid Services’ suggestions in its proposed rule implementing Stage 3 of the Meaningful Use program. read more …read more Source:: http://www.fierceemr.com/story/hit-policy-committee-workgroups-stage-3-rule-need-fine-tuning/2015-05-12?utm_medium=rss&utm_source=rss&utm_campaign=rss
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Pioneer Accountable Care Organizations exhibited smaller Medicare expense
By Deborah Leyva Link: JAMA In 2012, CMS launched the Pioneer Accountable Care Organization model and the Medicare Shared Savings Program. The Pioneer ACO model is a more ambitious test of population health management that targets experienced organizations. This model is an attempt to test viability of Accountable Care organizations and their ability to reduce…