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Posts tagged with "Centers for Medicare & Medicaid Services"

National News

Experts Call for New Payment System to Increase Home-Based Care Access Amid Pandemic

The global pandemic has forced industries across all sectors to adapt or risk insolvency. Firms have transitioned operations worldwide into the homes of their employees and healthcare is attempting to do the same by streamlining payments to increase home-based care access. According to Humana executives, the coronavirus should...
Medicaid Block Grants: A Primer Arizona News

Medicaid Block Grants: A Primer

The Trump Administration's rollout of its new Medicaid block grant policy, dubbed "Healthy Adult Opportunity" was met with backlash from House Democrats, who are moving to vote on a resolution next week that would disapprove the plan. Block grants give states fixed federal grants to use toward Medicaid spending based on individual...
CMS Rules

Medicare's New Physician Fee Schedule Gives CRNAs Expanded Recognition

The American Association of Nurse Anesthetists (AANA) is celebrating newly established rules, expanding the recognition and responsibilities of Certified Registered Nurse Anesthetists (CRNA).  On Nov. 1, the Centers for Medicare & Medicaid Services (CMS) released the new Medicare Physician Fee Schedule (PFS) to take effect...
National News

New Study Highlights RN Staffing in Nursing Facilities is Inadequate

A study digging into payroll data unveiled various discrepancies between federal expectations and registered nurse staffing in nursing facilities across the country. The study, published in Health Affairs, was authored by a group of Harvard University researchers and looked at more than 15,000 facilities. Up to 75 percent of...
National News

GAO Report Finds Lack of Transparency in CMS Review of Medicaid Waiver Proposals

An April report conducted by the Government Accountability Office (GAO) highlights a lack of transparency in federal review of section 1115 Medicaid waiver proposals. While acknowledging that CMS has made progress toward transparency, the GAO identified areas for improvement and made two specific recommendations. GAO asserts that...
Arizona News

New Medicaid for All Proposal Could Cloud Medicare for All Discussion

Speaker of the House Paul Ryan, on Monday said "Medicare for all" initiative shows that the Democratic party "has gone off the rails," despite many congressional Democrats not quite so gung-ho about the idea. The "Medicare for all" bill is Sen. Bernie Sanders' crown jewel of healthcare policies, a program that would essentially shift the...
Arizona News

Long-Term Care Benefits Added to Some 2019 Arizona Medicare Advantage Plans

In May, a final rule from the Centers for Medicare & Medicaid Services (CMS) opened the doors for Medicare Advantage (MA) insurers to offer long-term care benefits to members. About 7.5 percent of MA plan enrollees in 2019 may have access to in-home support services or extra benefits, according to CMS officials.  In a speech...
Arizona News

Medicare Advantage Premiums Fall in 2019

On Friday, September 28, The Centers for Medicare & Medicaid Services (CMS) announced that Medicare Advantage (MA) premiums will decrease by six percent, on average, in 2019. Additionally, plan choices and new benefits are expected to increase as MA enrollment reaches new highs.  According to a statement from CMS, more than 36...
Arizona News

Accountable Care Organizations' Savings Ripen Over Time

An Avalere analysis of accountable care organizations (ACOs) found that ACOs in the Medicare Shared Savings Program (MSSP) accumulate more savings as their experience grows. ACOs in the program for four years or more accounted for nearly all of the $317 in savings reported in 2017. As of 2018, over 10.5 million Medicare...
National News

Insurers Given More Time to File 2018 Rates

Uncertainty over possible Congressional and Trump administration actions leave carriers uncertain whether to stay in marketplaces and what to charge, The last six months have been anything but predictable for an industry based on ability to foresee risks and costs. Friday insurers received a letter from the federal Centers for...
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