Centers for Medicare & Medicaid Services (CMS)

Latest Headlines

Latest Headlines

Medicare Part B proposals too broad and could hurt patients, groups say

In a letter sent Thursday, 316 healthcare and patient advocacy groups urged leaders in both houses of Congress to ask the Centers for Medicare & Medicaid Services to withdraw its proposal for new Medicare Part B payment models.

Insurers embrace home-care programs to manage patients' health

While insurers increasingly turn to at-home care management programs to improve the health of their senior members and keep them out of the hospital, but some officials are concerned that the trend might be an attempt by insurance companies to maximize reimbursement, according to an article from the  Tampa Bay Times.  

Reports break down final ACA open enrollment stats

Two new reports from the federal government provide more details about who signed up for Affordable Care Act plans during the most recent open enrollment period, how they chose coverage and what they paid.  

CMS announces second round of Next Generation ACO applications

The Centers for Medicare & Medicaid Services announced a new application period for the Next Generation Accountable Care Organization program for the second round, which begins Jan. 1, 2017.

Cigna gets win from CMS policy shift, but consumers may lose

Federal regulators' decision to revise how star ratings are deducted from sanctioned Medicare Advantage plans will preserve millions of dollars in quality bonuses for Cigna--but some consumer advocates say the shift undermines health plans' accountability,  Kaiser Health News  reports.  

Providers may have no recourse on lost co-op health plan payments

Hospitals and doctors that cared for thousands of patients who were covered by the now-failed co-op health plans may get stiffed on what they are still owed, the  Daily Caller  reported.

CMS revises policy on docking star ratings of sanctioned Medicare Advantage plans

Federal regulators have revised their policy for automatically reducing star ratings for Medicare Advantage and Part D plans operating under immediate sanctions, a decision that will benefit health plans that have been hit by enforcement actions.

Some aren't sold on feds' health plan network rating idea

The federal government's plan to rate Healthcare.gov plans based on network breadth is intended to arm consumers with more information as they shop for coverage, but some are questioning how effective this approach will actually be.

Feds to test new Medicare Part B payment models

Citing a new report that found prescription drug spending reached $457 billion in 2015, the federal government announced it will test new Medicare Part B payment models to try to tackle those spiraling costs.  

CMS ramps up enforcement of Part C, Part D Medicare plan violations

A recently released list of financial penalties imposed on Medicare Part C and Part D plan sponsors shows that the government is increasingly coming down hard on health plans that violate federal regulations.