Category: CMS
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Budget battles brewing over Medicare, other entitlements
News outlets covered the reaction from Democrats and Republicans to the president’s budget plan, to be officially released Wednesday.
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House GOP SGR replacement would ease Medicare’s doctor pay into a pay-for-performance model
Under its new proposal to replace the Medicare physician payment formula, the House GOP plan would provide physicians with a stable, pre-set fee schedule to allow an eventual transition to alternate payment models.
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Health law coverage expansion will help ex-felons
Stateline reports that the health law’s Medicaid expansion will make many newly released prison inmates eligible for coverage.
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Penn Medicine study finds lower utilization of CTC for cancer screening
In 2009, the Centers for Medicare and Medicaid Services halted reimbursement for so-called “virtual colonoscopy” for routine colon-cancer screening in asymptomatic patients, in part due to concerns over how this procedure, computed tomography colonography, was being used in the elderly population.
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Proposal to eliminate SGR payment formula is revised
The House panels’ proposal to replace Medicare’s sustainable growth rate formula is seen as a way to change how Medicare delivers care. Meanwhile, some House GOP lawmakers who have complained about the health law’s costs said Wednesday that it should have allocated more money to a program to cover people with pre-existing health conditions.
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N.C. governor proposes managed care move for state’s Medicaid program
North Carolina Gov. Pay McCrory is proposing to privatize Medicaid to save money in the $13 billion program while stakeholders in Texas, Florida and California also consider changes to their Medicaid plans.
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Medicare misperceptions create tougher task for lawmakers
The New York Times reports that public misunderstandings about the specifics of entitlement benefits make trimming Medicare spending more difficult. Meanwhile, Politico reports on an idea that might bridge the partisan divide that plagues these efforts.
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Burden of care for many immigrants untouched by health law’s Medicaid expansion
Also in the news, media outlets offer news and analysis regarding Medicaid expansion plans and debates in Florida, Pennsylvania and Missouri.

