Medicare
CMS issues proposed rule on preventive and primary care
Posted on June 28, 2010
The Centers for Medicare and Medicaid Services has issued a proposed rule to provide preventive services to Medicare beneficiaries and boost payment to primary care providers.
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Health agencies launch fraud prevention education campaign
Posted on June 8, 2010
The Department of Health and Human Services, Centers for Medicare and Medicaid Services, and Administration on Aging have launched a one million-dollar public-education campaign to combat fraud timed to coincide with the issuing of $250 “donut hole rebate” checks created by the health reform law. This includes radio ads in English, Spanish, Korean, and Armenian.
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Sebelius says “excessive” premium increases could lead to Medicare Advantage denials
Posted on June 8, 2010
In a letter to WellPoint CEO Angela Braly, Health and Human Services Secretary Kathleen Sebelius warned that HHS could deny Medicare Advantage bids if “they appear to include excessive increases,” citing authority under the health reform law. “The Affordable Care Act strengthens the Secretary of Health and Human Services’ authority to ensure bids for Medicare Advantage plan benefit designs, such as what copayment applies to what service, are not discriminatory or unfairly priced.”
HHS/CMS invite states to apply for Multi-Payer Advanced Primary Care Practice Demonstration
Posted on June 3, 2010
The Department of Health and Human Services and its Centers for Medicare and Medicaid Services have invited states to apply for a Multi-Payer Advanced Primary Care Practice Demonstration project in the Medicare program.
Medicare Prescription Drug Coverage: Discount and Rebate Program and Aid to Low-Income Beneficiaries
Posted on May 27, 2010
The new health reform law phases out the coverage gap under Medicare Part D byreducing over time the amount of cost sharing incurred by beneficiaries for both generic and brand name drugs in the coverage gap. The law also establishes a “coverage gap discount program” as a condition of Part D program participation for pharmaceutical manufacturers.
CMS mails info on health reform to Medicare beneficiaries
Posted on May 25, 2010
The Centers for Medicare and Medicaid Services has sent a letter to Medicare beneficiaries detailing what the agency says are “the immediate benefits they may see from the enactment of the Affordable Care Act.”
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CMS issues Supplemental Proposed Changes to Prospective Payment Systems
Posted on May 25, 2010
he Center for Medicare and Medicaid services has issued supplemental proposed changes to the hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system, along with supplemental proposed fiscal year 2011 rates.
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CMS issues guidance on Part D drug discount plan
Posted on May 25, 2010
The Centers for Medicare and Medicaid Services has issued new guidance to Part D plan sponsors for implementation of discount drug program for beneficiaries in the “donut hole” due to go into effect in 2011.
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Stephen A. Somers and Melanie Bella, Center for Health Care Strategies
Posted on May 14, 2010
Never-Before Authority for Innovation Throughout the health reform debate, when concerns about “true reform” of how we organize, finance, and deliver care arose, everyone seemed to look to the Center for Medicare and Medicaid Innovation (CMI) as the place that would provide the answers. Although that is a big expectation, CMI’s unprecedented authority is so [...]
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Lynn Etheredge, Rapid Learning Project, George Washington University
Posted on May 14, 2010
The new CMS innovation center, with unprecedented discretion and $10 billion, could lead the way in health system reform. HHS should develop bold, creative, and high-impact strategies, working with the health sector’s high-performance leaders. I suggest considering these five ideas.
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