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CMS

Latest Headlines

Latest Headlines

Why insurers should actually encourage the use of special enrollment periods

Health insurers' push to reduce the number of consumers who enroll during special enrollment periods could end up hurting the Affordable Care Act marketplace more than helping it, argues a blog post from  Health Affairs.  

CHIME concerned with federal HIT certification frequency, eCQM testing

Many clinical quality measures required by the Centers for Medicare & Medicaid Services remain "process oriented" and not based on patient outcomes, and thus are not conducive to the implementation of alternative payment models, according to the College of Healthcare Information Management Executives (CHIME).

CMS issues final rule on overpayments

The Centers for Medicare & Medicaid Services has issued a final rule regarding the legal requirements providers most follow if they are overpaid.

Senate health committee unanimously passes HIT bill

The Improving Health Information Technology Act and six other bills cleared the Senate health committee with bipartisan support at a hearing on Tuesday.

Doc groups support cost-saving telehealth proposal

Three Medicaid reimbursement policy changes for telehealth and remote patient monitoring would save the federal government $1.8 billion over the next 10 years, according to a new report by consultancy Avalere Health. 

CMS proposes changes to ACO structure under Medicare Shared Savings Program

The Centers for Medicare & Medicaid Services has proposed a variety of changes to the payments to providers who participate in accountable care organizations under the Medicare Share Savings Program.

6 million Americans qualify for Medicaid but don't sign up

As many as six million Americans are eligible to get nearly free healthcare through Medicaid but don't sign up, according to an article from the  Wall Street Journal.

CMS: For approval of Medicaid home health services, telemedicine counts for face-to-face visits

The Centers for Medicare & Medicaid Services this week published a final rule clarifying requirements behind face-to-face encounters for Medicaid beneficiaries to be eligible to receive home health services; the rule outlines that telehealth can be used for such encounters.

Providers need a harder nudge toward alternative payment models

The mostly voluntary aspects of alternative payment models for providers could make it harder for Medicare to reap future savings, according to the former chairman of the Medicare Payment Advisory Commission

CMS to Theranos: Deficient lab practices pose 'immediate jeopardy to patient health'

The investigation into Theranos by the Centers for Medicare & Medicaid Services has been completed, and the findings are not good, with CMS saying that "the deficient practices of the laboratory pose immediate jeopardy to patient health and safety."