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941 Articles Matching "cms"

Plans, providers split on easing Medicaid network adequacy standards

Jan 16, 2019 , Modern Healthcare Breaking News
Health plans clashed with providers and consumers in their reactions to the CMS' proposal to give states more flexibility in regulating the adequacy of provider networks in Medicaid managed-care...
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DMC to add 79 Medicare-funded medical residency slots

Jan 15, 2019 , Modern Healthcare Breaking News
Unlike other major hospitals in Southeast Michigan that self-fund dozens of medical residents and fellows, all 79 residents are expected to be funded by the CMS because Detroit Medical Center has room under its federal resident reimbursement...
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Three top Baylor St. Luke's execs out following CMS review

Jan 15, 2019 , Modern Healthcare Breaking News
Baylor St. Luke's Medical Center announced the departures of three top executives, including the hospital's president. The news follows a CMS review into a patient...
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Commentary: Lose star ratings, instead measure what matters to patients

Jan 13, 2019 , Modern Healthcare Breaking News
Let's acknowledge that the CMS star-rating system spurs activities that raise costs without improving outcomes and begin rethinking the concept of quality measurement in...
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CMS Chief Acknowledges Flaws In Hospital Price Transparency Requirements But Says They’re An ‘Important First Step’

Jan 12, 2019 , Kaiser Health News
Since Jan. 1, hospitals must post a list of their standard charges in a machine-readable format on their website and update the information at least once a year, but many experts have said that those numbers are meaningless to consumers....
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ACOs ask for more time before taking on more risk

Jan 12, 2019 , Modern Healthcare Breaking News
The CMS is giving new accountable care organizations one month to apply to a new program forcing them to take on more risk. But the providers say that deadline is far too...
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Verma: Chargemaster rule is 'first step' to price transparency

Jan 11, 2019 , Modern Healthcare Breaking News
The CMS is working to improve a new rule requiring hospitals to post chargemaster prices on their websites after experts said the data wouldn't help consumers, Administrator Seema Verma said...
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Industry groups urge members to submit DIR comments to CMS by Jan. 25

Jan 11, 2019 , Drug Store News - Retail
NACDS and NCPA are urging members to send comments about DIR fees to CMS by Jan. 25. Read More...
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NACDS to members: Submit DIR comments to CMS by Jan. 25

Jan 10, 2019 , Drug Store News - Retail
NACDS is urging chain members to send comments about DIR fees to CMS by Jan. 25. Read More...
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CMS grants ACOs easier access to SNF waivers

Jan 09, 2019 , Modern Healthcare Breaking News
The CMS will give Medicare ACOs that take financial risk expanded access to waivers of the three-day inpatient stay rule for coverage of skilled-nursing facility...
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CMS taps Chris Traylor as top Medicaid director

Jan 09, 2019 , Modern Healthcare Breaking News
The CMS named Chris Traylor to lead federal Medicaid policy as acting director of the Center for Medicaid and CHIP...
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Cardon Children's Medical Center

Some Hospitals Frustrated With CMS Rule Requiring Them To Post Prices As Experts Say It Won’t Help Cut Consumers’ Costs

Jan 09, 2019 , Kaiser Health News
"The unfortunate thing is that for most consumers, because it's standard charges not related to their coverage, it's not that helpful," Rick Gundling, senior vice president of the Healthcare Financial Management Association, told Modern Healthcare. "It was an exercise that doesn't add a lot of value to the...
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Hospitals vary in publishing CMS chargemaster prices

Jan 08, 2019 , Modern Healthcare Breaking News
Price transparency stumbled out of the gate last week as hospitals complied with a new CMS requirement to publish their retail charges online for individual services and diagnosis-related...
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Mayhew leaves CMS, heads to Florida's health department

Jan 05, 2019 , Modern Healthcare Breaking News
Maine's former health official Mary Mayhew, who was tapped to helm Medicaid at the CMS, is leaving the agency for Florida's health department under GOP Gov. Ron...
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Editorial: Are CMS' quality incentive programs working?

Jan 04, 2019 , Modern Healthcare Breaking News
After nearly two decades of concerted efforts, it's time for the National Academies to judge whether quality and safety have improved and where new work is needed...
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CMS amps up value-based payments in 2018 as other quality issues fall by the wayside

Dec 28, 2018 , Modern Healthcare Breaking News
Risk was the buzzword for healthcare quality and safety in 2018. The CMS strongly pushed value-based payment and downside risk on providers, but the agency was largely silent on patient-safety...
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CMS inks remote monitoring plan, John Hancock incentivizes wellness and other Q4 payer news

Dec 28, 2018 jonah.comstock@himssmedia.com (MobiHealthNews), Mobile Health News
Also: UnitedHealthcare's "Motion" incentive program expands to include Apple Watches and Cigna teams up with Happify Health and...
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Death rates for heart failure, pneumonia rise as readmissions targeted

Dec 22, 2018 , Modern Healthcare Breaking News
A new study found death rates rose slightly among heart failure and pneumonia patients at hospitals participating in CMS' readmissions reduction program. This is the second study to find this...
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CMS finalizes rule forcing Medicare ACOs to take on risk sooner

Dec 22, 2018 , Modern Healthcare Breaking News
Under the redesigned program, ACOs can choose to participate in either the basic or enhanced track, and they will have to take on risk sooner or be booted out of the...
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Most NextGen ACOs won bonuses for Medicare cost savings in 2017

Dec 22, 2018 , Modern Healthcare Breaking News
Medicare Next Generation accountable care organizations produced $129 million in savings for the CMS in 2017 while earning an average of $3.3 million each in bonuses for beating cost targets and meeting quality...
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