Category: CMS
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House subcommittee schedules markup of ‘doc fix’ bill
The panel on July 22 will consider a measure repealing the current Medicare physician payment formula. Also in the news, some fact-checking on House GOP efforts to repeal the health law. From: http://www.news-medical.net/news/20130716/House-subcommittee-schedules-markup-of-doc-fix-bill.aspx
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Research roundup: Prevention task force PSA testing recommendations often ignored; Medicaid expansion for minorities; ER and aging population
The authors examined how the growing number of elderly Americans would affect the large and increasing part of non-catastrophic outpatient care. Using Census Bureau and nationally representative survey data, researchers quantified the number of ED visits that would occur if the demographic structure of the U.S. population changed, but everything else remained the same. “We…
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First Edition: July 12, 2013
Today’s early morning highlights from the major news organizations, including articles on data tracking of doctors and comparing the rollout of the Medicare Part D drug plans to implementation of the federal health law. From: http://www.news-medical.net/news/20130712/First-Edition-July-12-2013.aspx
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CMS to settle payment fight over Gamma Knife
The Centers for Medicare and Medicaid Services has proposed a new rule that would effectively put to rest a provision inserted into last year’s fiscal cliff bill by Senate Majority Leader Harry Reid (D., Nev.) to help a U.S. company. From: http://www.news-medical.net/news/20130712/CMS-to-settle-payment-fight-over-Gamma-Knife.aspx
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Helping Consumers Navigate Claims Data
With the Centers for Medicare & Medicaid Services (CMS) releasing data on hospital outpatient charges and Medicare spending, the age of medical cost transparency may be upon us. In New York, one non-profit organization is already helping patients navigate troves of claims data to be better engaged with their care. If the age of medical…
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Medicare to propose new doctor payment for managing multiple chronic conditions
Medicare is proposing paying doctors for managing Medicare patients with multiple chronic conditions starting in 2015. In the meantime, a Medicare plan to deny an Eli Lily diagnostic test to patients unless they are enrolled in a clinical trial is decried by some Alzheimer’s treatment advocates. From: http://www.news-medical.net/news/20130711/Medicare-to-propose-new-doctor-payment-for-managing-multiple-chronic-conditions.aspx
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Minn., Texas, Colo., other states adapting to health law in different ways
News outlets covered how various states are ramping up health exchanges, or not, and expanding Medicaid, or not. From: http://www.news-medical.net/news/20130711/Minn-Texas-Colo-other-states-adapting-to-health-law-in-different-ways.aspx
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CMS rule would expand Medicare payment for telehealth
The Centers for Medicare and Medicaid Services proposed a policy change to the 2014 Medicare Physician Fee Schedule that would expand payment for telehealth services, according to a CMS announcement…. read more From: http://www.fiercehealthit.com/story/cms-rule-would-expand-medicare-payment-telehealth/2013-07-10?utm_source=rss&utm_medium=rss
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Study: Some current Medicaid enrollees may not qualify for benefits that newly enrolled will get
George Washington researchers find that key preventive services included in the health law and slated for millions who will get coverage in the law’s Medicaid expansion may not be extended to people already covered by Medicaid. From: http://www.news-medical.net/news/20130710/Study-Some-current-Medicaid-enrollees-may-not-qualify-for-benefits-that-newly-enrolled-will-get.aspx
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State highlights: Ore. nonprofit hospitals see increased revenue, but lower charity care; Calif. shift means lost autism treatment
A new state report shows the average Oregon hospital more than doubled its margin, or profit, between 2009 and 2011, even as its provision of charity care went down. The findings trace the hospital sector rebound from recessionary lows in 2008, and how expanded Medicaid enrollment in Oregon has helped boost hospitals’ bottom line even…