Category: CMS
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Grassley demands info on Advantage rate leak
A senior Senate Republican is demanding a complete timeline and details on communications between the CMS and a financial consulting firm after the firm told clients the agency will be turning a planned cut in Medicare Advantage payments into a…
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CMS oversight of health plan website subpar
The Centers for Medicare & Medicaid Services has done a poor job overseeing its “Plan Finder” website, created to aid consumers in their search for appropriate medical coverage, according to a report unveiled this week by the U.S. Department of Health & Human Services' Office of Inspector General. read more
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States continue efforts to find their own way forward on Medicaid expansion
Today’s news regarding this health law provision comes from developments in Florida, Tennessee, Pennsylvania and Texas.
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First Edition: April 3, 2013
Today’s headlines include reports about how the latest round of payment rates for private Medicare plans led to stock market gains for insurers.
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Roundup: Feds cut N.Y. Medicaid payments $1.2B; 93,000 fewer kids enroll in CHIP in Pa.; W. Va. lawmakers promise miners benefits
Federal authorities have dramatically lowered the amount that New York state can claim from the federal government for certain medical services, costing the state an estimated $1.2 billion.
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Indiana House committee approves alternative option for Medicaid expansion
The legislation would use the state’s Healthy Indiana Plan to add coverage for 400,000 low-income residents.
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Supporters of Medicaid expansion fight to be heard in some statehouses
Mississippi House Democrats blocked passage of the state’s Medicaid budget Sunday to force a vote on expanding the program, while supporters and critics do battle in Missouri, Montana and Arkansas.
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Louisiana health secretary submits resignation
Louisiana Gov. Bobby Jindal’s health secretary — Bruce Greenstein — is resigning amid a probe into a Medicaid contract he awarded to a former employer.
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CMS does about-face on Medicare Advantage payment cuts
Apparently swayed by insurers and lawmakers, the CMS backtracked on an earlier plan to cut Medicare Advantage payments to insurers by 2.2% in 2014 and instead decided to give them a 3.3% increase.
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Study: For-Profit Hospitals Outperforming Non-Profit, Public Hospitals in Medicare Reimbursement Performance Measures
According to a new study from Northwestern Medicine, for-profit hospitals have been outscoring public and non-profit hospitals on performance measures tied to Medicare reimbursement. The report, which was published recently in the Annals of Emergency Medicine, found that the average performance scores were 50 for for-profits, 35 for nonprofit hospitals and 30 for public hospitals.…