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979 Articles Matching "cms"

March 25-29: What Events Are Coming in Health Care

Mar 22, 2019 , Healthcare Business News
March 21—Next week’s healthcare finance events and developments include the deadline to submit comments on changes to the CMS hospital overall star ratings....
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Pharmacy groups back CMS rejecting below-cost dispensing fees in Washington

Mar 20, 2019 , Drug Store News - Retail
Industry groups have voiced their support for the Center for Medicare and Medicaid Services' rejection of Washington state’s below-cost dispensing fee. The agency said the practice was inconsistent with federal Medicaid rules. Read More...
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Electronic Health Records: A Promising New Way To Fight the Opioid Epidemic

Mar 16, 2019 , Forbes
Electronic health records can equip health workers on the front lines with access to real-time data about patient prescribing patterns and is a key aspect of the CMS’s roadmap for combatting the opioid...
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Providers push back against conflict of interest concerns for Joint Commission, other accreditors

Feb 23, 2019 , Modern Healthcare Breaking News
Industry stakeholders told the CMS that they oppose banning accrediting organizations like the Joint Commission from providing consulting...
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Hospital Care Spending to Accelerate in Coming Years: CMS

Feb 23, 2019 , Healthcare Business News
Feb. 20—Hospital care spending is expected to accelerate over the coming 10 years as Medicare enrollments surge, more states expand Medicaid eligibility, and prices...
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Hospital Spending to Accelerate in Coming Years: CMS

Feb 22, 2019 , Healthcare Business News
Feb. 20—Hospital spending is expected to accelerate over the coming 10 years as Medicare enrollments surge, more states expand Medicaid eligibility, prices increase....
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CMS lost $84M in two years for ineligible nursing home stays

Feb 21, 2019 , Modern Healthcare Breaking News
The CMS pays millions of dollars a year to nursing homes for taking care of older adults who do not qualify for coverage, according to an investigation by HHS' inspector...
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Insurers, hospitals agree in telling CMS to keep 'silver-loading'

Feb 21, 2019 , Modern Healthcare Breaking News
Insurers, hospitals and state regulators are wary of the CMS ending "silver-loading" on Affordable Care Act...
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U.S. health spending to rise 5.5 percent per year over next decade: CMS

Feb 21, 2019 , Reuters
U.S. health spending is expected to grow at an average rate of 5.5 percent every year from 2018 over the next decade and will reach nearly $6 trillion by 2027 as more people become eligible for Medicare, a government health agency said on Wednesday....
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Healthcare spending will hit 19.4% of GDP in the next decade, CMS projects

Feb 21, 2019 , Modern Healthcare Breaking News
Healthcare spending growth will rise at an annual average of 5.5% over the next decade, slightly faster than in the past few years, due to the aging of the baby boomers and healthcare price growth, the CMS reported...
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U.S. Medicare plans to track CAR-T cancer therapy outcomes

Feb 16, 2019 , Reuters
The U.S. Centers for Medicare & Medicaid Services (CMS) on Friday proposed coverage of expensive CAR-T cell therapies at cancer centers that meet criteria including a registry or clinical study to monitor how well patients fare for at least two years after treatment....
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Medicare Advantage plans' quality measures face new changes

Feb 13, 2019 , Modern Healthcare Breaking News
The National Committee for Quality Assurance is looking to change some quality measures it maintains for CMS for Medicare Advantage plans, and the healthcare accreditor wants public feedback on those...
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With New Rules To Give Patients Better Access To Own Records, CMS Takes Aim At ‘Electronic Silos’ That Keep Health Data Separated

Feb 13, 2019 , Kaiser Health News
The draft rules touch on a broad array of issues, including technology standards that are supposed to help unlock digital data stored in the electronic health records used by hospitals and doctors to track patients’ care. Meanwhile, a new paper touts the possibilities of artificial intelligence when diagnosing common...
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CMS proposes interoperability rules to increase EHR access

Feb 12, 2019 , Modern Healthcare Breaking News
CMS released two long-awaited interoperability rules with new requirements for patient health...
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New Reinsurance Model In Medicare Part D

Feb 12, 2019 , Forbes
CMS is proposing a voluntary, 5-year model that would target rising reinsurance costs in Part D. Participating plans would be issued a target level of spending in the catastrophic segment of the Part D benefit. Plans would reap savings from spending less, while spending more would imply...
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Hospitals could face new CMS notification requirements

Feb 12, 2019 , Modern Healthcare Breaking News
Hospitals will have to identify and send patient notifications to their doctors if their EHR system is up to the...
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CMS Has Granted Red States Ever-Increasing Flexibility With Medicaid. Will That Hold True When Blue States Come Knocking?

Feb 12, 2019 , Kaiser Health News
Following the elections that flipped seven governorships, this could be a pivotal year for CMS Administrator Seema Verma. “Does flexibility go to everyone or is it just for cheaper, less regulated insurance?” said Chris Sloan, a director at Avalere, a health-care consulting firm. “That has yet to be decided.” Meanwhile, Democrats want the administration to crack down on state that aren't fully complying with Medicaid abortion...
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Feb 4-8: CMS Developing ESRD, Cancer Models

Feb 02, 2019 , Healthcare Business News
Jan. 31—Federal changes coming in 2019 to healthcare payment models slowly emerged this week, as federal healthcare leaders prepare to address a national policy meeting in Washington...
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Medicare Advantage plans see smaller rate hikes for 2020

Feb 01, 2019 , Modern Healthcare Breaking News
The CMS proposed increasing the baseline Medicare Advantage payment rates for 2020 by 1.59%, well below the 3.4% rate hike plans received in...
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NASP weighs in on DIR fee reform in comments to CMS

Jan 31, 2019 , Drug Store News - Retail
The National Association of Specialty Pharmacy has submitted its comments to the Centers for Medicare and Medicaid Services in response to the agency’s proposed Medicare Part D rule reform. Read More...
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