Health Insurance Marketplace site

CMS proposes risk-adjustment, cost-sharing changes for Health Insurance Marketplaces

The Centers for Medicare & Medicaid Services on Monday issued a proposed rule that would set the standards governing health insurance issuers and the...

Video-based telemedicine use triples in 2016

The use of video-based telemedicine has more than tripled over the past year, according to a recent survey from Rock Health, a venture fund...
Judge gavel, scales of justice and law books in court

U.S. Supreme Court agrees to hear South Dakota sales tax case

Last week the U.S. Supreme Court granted a review of an appeal filed by the State of South Dakota in the case of South...
Rural health care

Farm bill includes new rural health programs

The House and Senate earlier this week passed a $867 billion farm bill. The Congressional Budget Office (CBO) states that even though the farm...
CMS Rural Health Care Summit

CMS seeking applications for Rural Community Hospital Demonstration extension

The Centers for Medicare & Medicaid Services (CMS) is encouraging rural hospitals offering 24-hour emergency care services with fewer than 51 acute care inpatient beds to apply for the five-year extension of the Rural Community Hospital Demonstration.
Dollar roll on the cleaned wheaten field

CMS delays CJR, bundled payments until Jan. 1

The Centers for Medicare & Medicaid Services (CMS) has delayed the start date to Jan. 1 for the expansion of the Comprehensive Care for Joint Replacement model, the new bundled payment program for heart attack and cardiac bypass surgery services and the new cardiac rehabilitation incentive program.
Pills and capsules in medical vial

Panel urges CMS to abandon proposal to cut 340B payments

The Centers for Medicare & Medicaid Services (CMS) Advisory Panel on Hospital Outpatient Payment (HOP) recommended Monday that the agency drop plans to finalize...

MedPAC releases 2019 payment updates

The Medicare Payment Advisory Commission (MedPAC) has released draft recommendations on Medicare fee-for-service payment and policy changes, as required by law. These recommendations, directed...

House Republicans introduce legislation to repeal and replace parts of ACA

House Republicans leaders introduced the American Health Care Act (AHCA) on Monday to repeal and replace parts of the Affordable Care Act (ACA). The legislation seeks to reform federal Medicaid financing by creating a per-capita cap model starting in FY 2020.

Senate committees continue work on AHCA

With the Congressional Budget Office (CBO) score known, the Senate has the framework to draft its version of the American Health Care Act (AHCA)...

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