Centers for Medicare & Medicaid Services
CMS explains reform law’s expansion of opportunities for Home and Community Based Services under 1915(i) waiver
Posted on August 10, 2010
In a letter to state Medicaid administrators, the Centers for Medicare and Medicaid Services detailed new opportunities for providing Home and Community Based Services (HCBS) made possible by the health reform law’s modification of 1915(i) waivers. These include allowing states to target certain populations and removing the requirement that patients meet an “institutional level of care” in order to qualify for services.
CMS issues final manufacturers agreement for drug discount program
Posted on August 3, 2010
On Monday CMS issued its ‘doughnut hole’ drug discount agreement for drug makers. According to the agreement, CMS will require drug makers to pay disputed discounts for doughnut hole drugs up front. The agreement extended the time period in which the manufacturers must reimburse quarterly invoices to 38 days, more than double the 15 days originally envisioned by agency officials. CMS also forwarded a memo explaining its provisions.
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CMS reports on savings to Medicare from reform law
Posted on August 2, 2010
In a new report, the Centers for Medicare and Medicaid Services has found that provisions of the health reform law will save the Medicare program almost eight billion dollars by 2012 and more than $575 billion over the next decade. It also projects that the health reform law more than doubles the life of the Medicare Trust Fund.
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CMS announces additional $2.25 billion for Money Follows the Person Rebalancing Demonstration
Posted on July 27, 2010
The Centers for Medicare and Medicaid Services has announced $2.25 billion to extend the existing Money Follows the Person Rebalancing Demonstration Program, which is designed to facilitate people with disabilities staying in their communities instead of being placed in institutional settings.
CMS proposes payment changes for medicare home health services for 2011
Posted on July 16, 2010
On July 16th CMS accounced a number of payment changes to Medicare home health services, including a 4.75 percent decrease in Medicare payments to home health agencies (HHAs) for calendar year
2011.
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CMS proposes rule on nursing home civil monetary penalties
Posted on July 13, 2010
The Centers for Medicare and Medicaid Services has proposed a rule that will govern civil monetary penalties on nursing homes under the health reform law. CMS is empowered to place fines collected in an escrow account, which will be returned with interest if a nursing home successfully appeals.
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300,000 more Medicare beneficiaries receive donut-hole rebate checks
Posted on July 8, 2010
The Department of Health and Human Services has announced that more than 300,000 additional Medicare beneficiaries whose drug costs have pushed them into the Part D donut hole have been mailed $250 rebate checks funded by the health reform law.
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CMS launches Hospital Compare Tool at Healthcare.gov
Posted on July 7, 2010
The Centers for Medicare and Medicaid Services has launched a new “Hospital Compare Tool” through Healthcare.gov’s “Compare Care Quality” portal. The hospital tool draws on data voluntarily submitted by hospitals on 44 quality indicators.
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CMS issues proposed outpatient payment rule reflecting health reform law
Posted on July 6, 2010
The Centers for Medicare and Medicaid Services has issued a proposed rule on payments to hospitals for outpatient and ambulatory surgery centers for 2011.
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Medicaid director writes states on family planning services
Posted on July 2, 2010
Medicaid director Cindy Mann has written state Medicaid directors on family planning services options and rules for benchmark plans under the health reform law.
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