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 are estimates pulled at a...
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 and improve transparency relative to...
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 to and recommendations for improving...
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 the Department of Health &...
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 points are estimates pulled at...
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 D insurance plans to provide...
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 Part D plans more tools...
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 of telehealth in the Medicare...
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 Patient Driven Payment Model (PDPM)....
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 year (FY) 2018, down from...
