Category: CMS
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Data-sharing cuts unnecessary ER visits by 10 percent
A data-sharing initiative among emergency departments in Washington reduced ER visits by Medicaid patients by 10 percent in the program’s first year, according to a report from the Washington… read more …read more
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Viewpoints: Generic drug warnings; Medicare Advantage ‘scam’
Late last year, the Food and Drug Administration proposed sensible regulations that would authorize the makers of generic drugs to update safety labels independently, without waiting for F.D.A. approval, to warn of newly discovered risks. …read more
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Hospital CIOs rip ICD-10 delay in SGR patch legislation
Hospital CIOs are not happy that lawmakers may push out ICD-10 implementation another year, should the Senate approve the latest proposed legislation to delay physician Medicare reimbursement cuts under the sustainable growth rate formula; the House approved the bill in a last-minute voice vote early Thursday. read more …read more
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CMS awards Medicare claims administration contract to First Coast
The Centers for Medicare & Medicaid Services (CMS) has awarded First Coast Service Options (First Coast) the A/B Medicare Administrative Contractor contract for Jurisdiction N (JN), formerly Jurisdiction 9, which includes Florida, Puerto Rico and U.S. Virgin Islands. …read more
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States say federal exchange stalling Medicaid and CHIP applications
CQ HealthBeat is reporting that more than 400,000 people who qualify for Medicaid or the Children’s Health Insurance Program are waiting for their applications to be sent from the federal insurance exchange website to states for processing. …read more
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AHRQ funds 12 projects on MU Stage 3
The U.S. Department of Health & Human Services Agency for Healthcare Research and Quality, in partnership with the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health IT, is supporting research on 12 projects evaluating the Meaningful Use program in order to better develop Stage 3 requirements. read more…
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Effort to fix SGR formula snagged over cost
Prospects are growing dim that Congress will permanently fix Medicare’s outdated payment formula this year because lawmakers have been unable to agree on a way to pay for it. …read more
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State highlights: Ark. court reverses $1.2B Medicaid drug judgment; Fla. officials overhauling child welfare agency
The Arkansas Supreme Court reversed a $1.2 billion judgment against Johnson & Johnson on Thursday, finding that the state attorney general erred by suing under a law that applied to health care facilities, not drug companies. The judgment, one of the largest in history for a state fraud case, was imposed in 2012 after a…
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How Can You Achieve ICD-10 Peace of Mind?
In this Healthcare Informatics podcast, Janice Wurz, senior advisor at Impact Advisors, speaks with Senior Editor, Gabriel Perna on the ICD-10 transition. Specifically, Wurz talks about what has been holding back many providers in achieving readiness and how they can get peace of mind. The battle over the ICD-10 transition will come to a head…
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Medicaid expansion compromise fails in Nebraska legislature
This “carefully crafted” approach fell short of the needed support,but its backers vow to return next year with a new proposal. News outlets also provide updates on expansion efforts in Nevada, Virginia and Ohio. …read more