Weekly open enrollment update: Week five
The Centers for Medicare & Medicaid Services (CMS) releases weekly enrollment snapshots for the HealthCare.gov platform. These data points...
CMS announces increased nursing home staffing oversight, changes to PBJ manual
The Centers for Medicare & Medicaid Services (CMS) on Nov. 30 announced actions that will increase nursing home oversight...
New federal report: Reforming America’s Healthcare System Through Choice and Competition
The Departments of Health and Human Services, Treasury and Labor collaborated to develop a 119-page report which identifies challenges...
Hospital groups file lawsuit over site-neutral payment rule
The American Hospital Association, the Association of American Medical Colleges and three hospitals filed a lawsuit Nov. 4 against...
Open enrollment in marketplace health plans is down
The Centers for Medicare & Medicaid Services (CMS) releases enrollment snapshots each week for the HealthCare.gov platform. These data...
CMS proposes requiring real-time drug prices in Part D plans
The Centers for Medicare & Medicaid Services (CMS) Nov. 26 issued a proposed rule that would require Medicare Part...
CMS’ proposed rule would lower Medicare Advantage and Part D drug prices
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would provide Medicare Advantage and...
CMS issues report to Congress on telehealth in Medicare
The Centers for Medicare & Medicaid Services (CMS) published a report to Congress on Nov. 15 detailing the state...
Patient Driven Payment Model resources available, informational call scheduled
In July 2018, the Centers for Medicare & Medicaid Services (CMS) finalized a new case-mix classification model called the...
Improper Medicare payments total $31B in 2018
The Centers for Medicare & Medicaid Services (CMS) paid out approximately $31 billion in improper Medicare payments in fiscal...