Category: CMS
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CMS to create database on public agency/registry readiness to receive provider data
The Centers for Medicare & Medicaid Services has issued a notice of its plan to create a centralized database to help providers determine if public health agencies and registries’ readiness to receive patient data from certified electronic health record technology. read more …read more
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GOP wants to restore some military retiree pensions, tie it to debt-limit raise, extend Medicare cuts
Republicans are considering tying an increase in the debt ceiling to restoring pension cuts for military retirees and paying for it by extending automatic cuts to programs, including Medicare. …read more
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Arkansas lawmakers could retreat from innovative Medicaid expansion plan
The legislature may reverse course just at Republicans in other states are weighing whether to follow the Arkansas proposal to use federal funds to buy private insurance for some of the state’s low income residents. …read more
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MedAptus releases Risk Severity Toolkit to help provider groups manage disease burden of patients
MedAptus today announced that it has released a Risk Severity Toolkit to help provider groups measure and manage the disease burden of patients covered under risk-based contracts. The initial version focuses on the Medicare Advantage (MA) patient population where premiums paid to MA health plans are based on enrollees’ severity history using the Centers for…
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Federal appeals court rules against Unitedhealthcare on Conn. Medicare advantage case
In the meantime, some consumers must re-enroll in traditional Medicare to keep seeing doctors UnitedHealthcare dropped in New Haven, Conn. …read more
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Leaving behind Medicaid expansion leaves coverage gaps, hospitals short on payments
The Wall Street Journal examines the gap created by some states deciding not to expand their Medicaid programs and what that decision means for hospitals’ bottom lines. Also, Republican lawmakers consider “bailouts” for hospitals after they decided not to expand Medicaid. In the meantime, Arkansas’ lawmakers get ready to debate the state’s Medicaid experiment. …read…
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GOP considers asking for ‘doc fix,’ other proposals, in return for debt-ceiling raise
House Republicans are considering their options on tying proposals they want to see to passing an increase in the debt ceiling, among them fixing the way Medicare pays doctors. …read more
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N.H. State Senators agree to bipartisan Medicaid expansion compromise
The plan will require three federal waivers, would sunset after three years without continued 100 percent federal contributions and would use private insurance to reach the additional low-income New Hampshire residents. It’s similar to the Iowa and Arkansas approaches. …read more
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Family Health Network grows by nearly 15% in 2013
The Family Health Network, a nonprofit health plan serving Medicaid recipients, has seen its network of providers double over the last three years, from 2,078 primary-care physicians, specialists, hospitals and clinics in 2010 to 4,299 at the close of 2013. …read more
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First Edition: February 7, 2014
Today’s headlines include reports from Capitol Hill about the continuing efforts to overhaul Medicare’s payment system for doctors. …read more