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Posts tagged with "CMS Administrator Seema Verma"

National News

Telehealth Takeover: Trends & Physician Challenges

Telehealth was a natural solution for a pandemic that made person to person contact risky. Now, as a light emerges at the end of the tunnel, experts look toward the future of virtual medicine.  One national telemedicine platform, CallOnDoc, told Forbes that they are seeing people use the platform for chronic conditions. In...
Arizona News

CMS Rescinds MFAR in a Tweet

The Medicaid Fiscal Accountability Rule, which was announced in November last year, would have transformed federal supplemental payment programs under Medicaid. This week Centers for Medicare & Medicaid Services Administrator Seema Verma announced in a tweet that the rule would be removed. We’ve listened closely to...
Arizona News

CMS Releases Nursing Home COVID-19 Data, Warns about Inaccuracies

The Centers for Medicare and Medicaid Services (CMS) released the full data of its COVID-19 survey of nursing facilities in the United States on Thursday. CMS cautioned against taking the data too literally as there was incomplete reporting from many care facilities, but did stress that there was certain information to be gleaned from...
Arizona News

Developments on SNF Safety Protocols as Arizona Begins to Reopen

On Tuesday, Arizona Governor Doug Ducey announced the reopening of businesses and places of worship, and also reinforced safety protocols for skilled nursing facilities. In addition to a push for testing, patient visitation is still prohibited and staff and visitors are required to be screened before all visits. According to the...
Arizona News

The Future of The Next Generation ACO

This week, public reporting has the  Centers for Medicare & Medicaid Services telling Next Generation ACOs the program won't be around for 2021. CMS says no final decision has been made and it won't be able to determine if the model can be expanded until additional performance years are evaluated. Last month, the agency...
Arizona News

CMS Promulgates Rule to Increase Transparency and Allow Flexibility

The Centers for Medicare and Medicaid Services has finalized a rule intended to make prices more transparent with Medicare Part D drug plans and allow plan sponsors to use cost-cutting tools such as step therapy under certain circumstances. "CMS is delivering on price transparency, because patients have a right to know the cost of...
News

CMS Releases 2019 Quality Payment Program Proposed Rule

The proposed rule for Year 3 of the Quality Payment Program (QPP) may boost participation and cut paperwork for eligible clinicians. Proposal adds ten new quality measures and dumps dozens of "low value" measures. Providers, healthcare organization executives, association heads, and other stakeholders have until September 10 to...
Will Accountable Care Organizations Accept Downside Risk ? Survey Says "No" National News

Will Accountable Care Organizations Accept Downside Risk ? Survey Says "No"

CMS considers compelling acceptance of risk in the voluntary Medicare Shared Savings Program. National Association of ACOs (NAACOS) released results from a survey of 82 participating ACOs about assuming risk and future participation plans for Medicare Shared Savings Program (MSSP) Track 1 ACOs.  Answers to a key survey question show...
National News

The Centers for Medicare and Medicaid Services Expands Medicare Diabetes Prevention Program

The new model may save the Medicare program more than $180 million by keeping beneficiaries healthy and averting new cases of diabetes. According to CMS, Medicare spends more than $104 billion every year treating patients with this preventable disease. The Medicare diabetes prevention program was launched in 2012 as a small,...
National News

Kansas' Request to Limit Medicaid Coverage to Three Years per Lifetime Denied

Kansas was one of five states that requested lifetime limits, the others are Arizona, Maine, Utah and Wisconsin. As President Donald Trump took office, his administration announced a willingness to give states more flexibility in how they run their Medicaid programs, funded through a combination of state and federal dollars. The...
National News

CMS to Release Medicare Advantage Data to Researchers

Currently, researchers have access only to Medicare claims data for the fee-for-service program. Release of Medicare Advantage data will provide a more comprehensive view of care provided to Medicare beneficiaries, said Verma at last week’s Health Datapalooza conference in Washington. Health Data Management quotes CMS Administrator...
National News

Post-acute Care Providers to Get Pay Boost from CMS

Annual prospective pay rules are good news for skilled nursing facilities, hospices, inpatient psychiatric facilities and inpatient rehab facilities. As well as increases in rates of payments, the Centers for Medicare and Medicaid Services proposes reductions in a variety of regulatory burdens.  A listing of proposed changes can be...
National News

CMS' Annual Inpatient Hospital Rule to Bring Changes

 Posting of hospital prices, change meaningful use, long-term care hospital reimbursement and prices of immunotherapy drugs on the list. Seema Verma, head of the Centers for Medicare and Medicaid Services, said the new requirement for online prices reflects the Trump administration's ongoing efforts to encourage patients to become...
Seema Verma Calls for a Healthcare Ecosystem Where Data Flows Freely National News

Seema Verma Calls for a Healthcare Ecosystem Where Data Flows Freely

CMS Administrator Verma announced on Tuesday several new initiatives for interoperability.    For data to flow freely, she said there would an overhaul of meaningful use, and the full ballroom at the HIMSS18 global conference in Las Vegas broke into applause.   HealthcareIT News reports Verma said in a...
National News

Make Medicaid a Pathway Out Of Poverty: Seema Verma

In a Washington Post opinion piece, the CMS Administrator shares her vision. Verma begins: Americans are among the most generous people in the world. While this nation was founded on the pursuit of a shared dream, the moral pledge of the American people has been to never leave behind our most vulnerable fellow citizens. Our aim is...
Arizona News

Arizona May Add Work Requirement for Medicaid Benefits

Trump administration to permit requirement to work if states seek it. The Arizona Daily Star reports Arizona is one of 10 states that have submitted applications to add work requirements for the government health insurance program for low-income people. The state’s Medicaid program, called the Arizona Health Care Cost Containment...
National News

Trump Administration Expected to Release Work Requirement Guidelines for Medicaid

A major shift in the 50-year-old program, the guidelines will set the conditions for allowing states to add work requirements to their Medicaid programs, bringing a conservative twist to the health insurance program for the poor. The Hill reports the changes represent the vision of Seema Verma, the administrator of the Centers for...
Arizona Submits Waiver to Impose Work Requirements for Medicaid Arizona News

Arizona Submits Waiver to Impose Work Requirements for Medicaid

Early in December Arizona indicated intent to file a waiver, it has now been submitted to CMS. The Section 1115 waiver requests CMS to permit work requirements and a five-year lifetime limit to Arizona's Medicaid program. If CMS approves the waiver, residents of Arizona who qualify for Medicaid and are between the ages of 19 and 55...
National News

Affordable Care Act Demand Remains Robust as Open Enrollment Ends

In spite of obstacles, more than 8.8 million signed up through the federal marketplace. The Centers for Medicare and Medicaid Services said more than 8.8 million people have signed up in the 39 states served by the federal HealthCare.gov website. That compares to 9.2 million last year in the same states — or 96 percent of the...
Arizona News

CMS Administrator Seema Verma Discusses Her Vision for the Future of Medicaid

She spoke to the plenary session of the National Association of Medicaid Directors (NAMD) Fall Conference in Arlington, Virginia. Verma unveiled new CMS policies that encourage states to propose innovative Medicaid reforms, reduce federal regulatory burdens, increase efficiency, and promote transparency and accountability. A CMS...
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