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  • Provider Groups urge Congress to Extend the Medicare Sequester Cuts

    Provider Groups urge Congress to Extend the Medicare Sequester Cuts

    Provider Groups urge Congress to Extend the Medicare Sequester Cuts | site |




    (October 21, 2020) - - Today, October 21, 2020, the American Hospital Association (AHA) published the following information:




    Provider groups urge Congress to extend the Medicare sequester cuts



    Washington, D.C., October 21, 2020

    Joint AHA, AMA, AHCA and NAHC Statement on Medicare Sequester Cuts


    The American Hospital Association, the American Medical Association, the American Health Care Association and the National Association for Home Care and Hospice wrote congressional leaders today urging them to extend the congressionally enacted moratorium on the application of the Medicare sequester cuts into 2021 and through the duration of the public health emergency. Together, these organizations provide health care to more than 62 million Medicare patients, and the persistently high COVID-19 rates across
    ...
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  • CMS Approves Nebraska Medicaid Demonstration to Provide Pathway to Enhanced Benefits for Eligible Adults

    Centers for Medicare and Medicaid Services approves Nebraska Medicaid Demonstration to Provide Pathway to Enhanced Benefits for Eligible Adults | site |



    (October 20, 2020) - - The Centers for Medicare and Medicaid Services published today, October 20, 2020, the following information:

    Today, the Centers for Medicare & Medicaid Services (CMS) announced its approval of Nebraska’s new Medicaid Section 1115 demonstration called “Heritage Health Adult.” This demonstration is designed to create a pathway for certain Nebraska adults with newly gained Medicaid coverage to access additional benefits if they participate in certain activities to promote health and independence. This demonstration is effective October 20, 2020, through March 31, 2026, with implementation beginning April 1, 2021.


    “Governor Ricketts and his team deserve credit for responding to President Trump’s invitation to design innovative state-led solutions that promote
    ...
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  • Trump Administration Announces Historically Low Premiums and New Insulin Benefit as Medicare Open Enrollment Begins

    Trump Administration Announces Historically Low Premiums and New Insulin Benefit as Medicare Open Enrollment Begins | site |



    Medicare Parts A & B


    (October 15, 2020) - - Today, October 15, 2020, the Centers for Medicare & Medicaid Services published the following information: Today, the Centers for Medicare & Medicaid Services (CMS) announced that 2021 Medicare Open Enrollment is officially open and will run through December 7, 2020. More than 60 million people with Medicare can review health and drug plans, and make changes to their healthcare coverage for next year, based on their financial and medical needs, from the comfort of their homes. With Medicare Advantage (or private Medicare health plans) and Part D prescription drug plan premiums at historic lows – and hundreds of healthcare plans now offering $35 monthly co-pays for insulin – there are plenty of reasons to compare coverage options. As part of this year’s open enro...
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  • CMS Survey Data Illustrates Impact of COVID-19 on Medicare Beneficiaries’ Daily Life and Experiences

    Centers for Medicare and Medicaid Services Survey Data Illustrates Impact of COVID-19 on Medicare Beneficiaries’ Daily Life and Experiences | site |



    (October 16, 2020) - - The Centers for Medicare and Medicaid Services published today, October 16, 2020, the following information: Today, the Centers for Medicare & Medicaid Services (CMS) released data showing that 21% of Medicare beneficiaries report forgoing non-coronavirus disease 2019 (COVID-19) care due to the pandemic, and nearly all - 98% - of beneficiaries have taken preventative measures to keep themselves safe from the virus. According to the survey, the most common type of forgone care because of the pandemic was dental care (43%), followed by regular check-up (36%), treatment for ongoing condition (36%), and diagnostic or medical screening test (32%). The most common reason cited for forgoing care was not wanting to risk being at a medical facility (45%). Regarding COVID-19 preventative health behavi...
    See more | Go to post

  • Trump Administration Drives Telehealth Services in Medicaid and Medicare

    Trump Administration Drives Telehealth Services in Medicaid and Medicare

    Trump Administration Drives Telehealth Services in Medicaid and Medicare | site |


    (October 14, 2020) - - The Centers for Medicare and Medicaid Services published today, October 14, 2020, the following information: Today, the Centers for Medicare & Medicaid Services (CMS) expanded the list of telehealth services that Medicare Fee-For-Service will pay for during the coronavirus disease 2019 (COVID-19) Public Health Emergency (PHE). CMS is also providing additional support to state Medicaid and Children’s Health Insurance Program (CHIP) agencies in their efforts to expand access to telehealth. The actions reinforce President Trump’s Executive Order on Improving Rural Health and Telehealth Access to improve the health of all Americans by increasing access to better care. “Responding to President Trump’s Executive Order, CMS is taking action to increase telehealth adoption across the country,” said CMS Administrator Seema Verma. “Medicaid patients should not be ...
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  • 2021 Medicare Advantage and Part D Plan Information Now Available on Medicare.gov Ahead of Medicare Open Enrollment

    2021 Medicare Advantage and Part D Plan Information Now Available on Medicare.gov Ahead of Medicare Open Enrollment | site |


    (October 1, 2020) - - Today, October 1, 2020, the Centers for Medicare and Medicaid Services (CMS) published the following information:

    Following last week’s announcement of historically low premiums in Medicare Advantage, starting today, seniors can begin to compare their Medicare coverage options for 2021. CMS has released the 2021 benefit and cost-sharing information for Medicare Advantage and Part D prescription drug plans on Medicare.gov. Additionally, for the first time, seniors will be able to find through Medicare Plan Finder on Medicare.gov more than 1,600 prescription drug plans to choose from that will offer insulin at no more than a $35 monthly copay beginning in January. Average 2021 premiums for Medicare Advantage plans are expected to decline 34.2 percent from 2017 while plan choice, benefits, and enrollment continue to
    ...
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  • U.S. Centers for Medicare and Medicaid Services Updates COVID-19 Testing Methodology for Nursing Homes

    U.S. Centers for Medicare and Medicaid Services Updates COVID-19 Testing Methodology for Nursing Homes | site |



    (September 29, 2020) - - The United States Centers for Medicare & Medicaid Services published today, September 29, 2020, the following information: Today, the Centers for Medicare & Medicaid Services (CMS) announced an update to the methodology the agency employs to determine the rate of coronavirus disease 2019 (COVID-19) positivity in counties across the country. Counties with 20 or fewer tests over 14 days will now move to “green” in the color-coded system of assessing COVID-19 community prevalence. Counties with both fewer than 500 tests and fewer than 2,000 tests per 100,000 residents, and greater than 10 percent positivity over 14 days – which would have been “red” under the previous methodology – will move to “yellow.” This information is critical to nursing homes, which are required to test their staff for COVID-19 at a freque
    ...
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  • CMS Announces Innovative Payment Model to Improve Care, Lower Costs for Cancer Patients

    Centers for Medicare and Medicaid Services Announces Innovative Payment Model to Improve Care, Lower Costs for Cancer Patients | site |



    (September 18, 2020) - - The Centers for Medicare and Medicaid Services published today (September 18, 2020) the following information:

    Today, the Centers for Medicare & Medicaid Services (CMS) finalized a new Innovation Center model expected to improve the quality of care for cancer patients receiving radiotherapy and reduce Medicare expenditures through bundled payments that allow providers to focus on delivering high-quality treatments. The new Radiation Oncology (RO) Model allows this focus on value-based care by creating simpler, more predictable payments that incentivize cost-efficient and clinically effective treatments to improve quality and outcomes. The RO Model, part of a final rule on specialty care models issued by CMS, will begin on January 1, 2021 and is estimated to save Medicare $230 million over...
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  • Centers for Medicare and Medicaid Services posts Guidance for Implementing New Testing Requirements in Nursing Homes and Labs

    Centers for Medicare and Medicaid Services posts Guidance for Implementing New Testing Requirements in Nursing Homes and Labs | site |




    (August 26, 2020) - - The Centers for Medicare & Medicaid Services published today (August 26, 2020) the following information:

    Today, the Centers for Medicare & Medicaid Services (CMS) released guidance for nursing homes and clinical laboratories to assist in enhancing their abilities to prevent the spread of the coronavirus disease 2019 (COVID-19) to nursing home residents and their front line staff.

    Nursing homes are particularly vulnerable to the prevalence and spread of COVID-19. CMS continues to take proactive steps to enhance infection control policies, including practices that limit potential transmission, and prevent outbreaks within these facilities to protect residents. Today’s guidance requires all nursing homes to test all residents and staff for COVID-19. A new survey
    ...
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  • Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries

    Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries| site |



    May 22, 2020) - - Today (May 22, 2020), the Centers for Medicare & Medicaid Services (CMS) published the following information: The Centers for Medicare & Medicaid Services today finalized requirements that will increase access to telehealth for seniors in Medicare Advantage (MA) plans, expand the types of supplemental benefits available for beneficiaries with an MA plan who have chronic diseases, provide support for more MA options for beneficiaries in rural communities, and expand access to MA for patients with End Stage Renal Disease (ESRD). Together, the changes advance President Trump’s Executive Orders on Protecting and Improving Medicare for Our Nation’s Seniors and Advancing American Kidney Health as well as several of the CMS strategic initiatives. Due to the upcoming June 1, 2020, MA and Part D ...
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  • Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries

    Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries | site | May 22, 2020) - - Today (May 22, 2020), the Centers for Medicare & Medicaid Services (CMS) published the following information: The Centers for Medicare & Medicaid Services today finalized requirements that will increase access to telehealth for seniors in Medicare Advantage (MA) plans, expand the types of supplemental benefits available for beneficiaries with an MA plan who have chronic diseases, provide support for more MA options for beneficiaries in rural communities, and expand access to MA for patients with End Stage Renal Disease (ESRD). Together, the changes advance President Trump’s Executive Orders on Protecting and Improving Medicare for Our Nation’s Seniors and Advancing American Kidney Health as well as several of the CMS strategic initiatives. Due to the upcoming June 1, 2020, MA and Part D bid deadlines for t...
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  • COVID-19 Response News Alert - - Centers for Medicare and Medicaid Services Issues Frequently Asked Questions to Assist Medicare Providers

    COVID-19 Response News Alert: Centers for Medicare and Medicaid Services Issues Frequently Asked Questions to Assist Medicare Providers| site |




    (March 6, 2020) - - Today, the Centers for Medicare and Medicaid Services (CMS) published the following information:

    Today, the Centers for Medicare & Medicaid Services (CMS) issued frequently asked questions and answers (FAQs) for healthcare providers regarding Medicare payment for laboratory tests and other services related to the 2019-Novel Coronavirus (COVID-19). The agency is receiving questions from providers and created this document to be transparent and share answers to some of the most common questions.

    Included in the FAQs is:
    • Guidance on how to bill and receive payment for testing patients at risk of COVID-19;
    • Details of Medicare’s payment policies for laboratory and diagnostic services, drugs and vaccines under Medicare Part B, ambulance services, and other medical services
    ...
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  • Centers for Medicare and Medicaid Services Announces Actions to Address Spread of Coronavirus

    Centers for Medicare and Medicaid Services Announces Actions to Address Spread of Coronavirus| site |





    CMS calls on all health care providers to activate infection control practices and issues guidance to inspectors as they inspect facilities affected by Coronavirus





    (March 4, 2020) - - Today, the Centers for Medicare and Medicaid Services published the following information: Today, the Centers for Medicare & Medicaid Services (CMS) is announcing several actions aimed at limiting the spread of the Novel Coronavirus 2019 (COVID-19). Specifically, CMS is issuing a call to action to health care providers across the country to ensure they are implementing their infection control procedures, which they are required to maintain at all times. Additionally, CMS is announcing that, effective immediately and, until further notice, State Survey Agencies and Accrediting Organizations will focus their facility inspections...
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  • Centers for Medicare and Medicaid Services Office of the Actuary Releases 2018 National Health Expenditures

    Centers for Medicare and Medicaid Services Office of the Actuary Releases 2018 National Health Expenditures | site |



    (December 5, 2019) - - Today, the U.S. Office of Medicare and Medicaid Services published the following information: Total national healthcare spending in 2018 grew 4.6 percent, which was slower than the 5.4 percent overall economic growth as measured by Gross Domestic Product (GDP), according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) and published today ahead of print by Health Affairs. As a result, the share of the economy devoted to health spending decreased from 17.9 percent in 2017 to 17.7 percent in 2018. Growth in overall healthcare spending has averaged 4.5 percent for 2016-2018, slower than the 5.5 percent average growth for 2014-2015, that was affected by expanded Medicaid and private insurance coverage and increased spending for prescription drugs, particularly for drugs
    ...
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  • Fiscal Year 2019 Medicare Fee-For-Service Improper Payment Rate is Lowest Since 2010 while Data Points to Concerns with Medicaid Eligibility

    Fiscal Year (FY) 2019 Medicare Fee-For-Service Improper Payment Rate is Lowest Since 2010 while Data Points to Concerns with Medicaid Eligibility | site |


    Estimated improper payments for Medicare Fee-For-Service (FFS) declines more than $7 billion from FY 2017-2019

    (November 19, 2019) - - Today, the Centers for Medicare & Medicaid Services published the following information:


    The Centers for Medicare & Medicaid Services (CMS) announced today that the Medicare Fee-For-Service (FFS) improper payment rate has fallen yet again, and is at its lowest level since FY 2010. Today’s announcement reinforces the Trump Administration and CMS’ commitment to strengthening Medicare and ensuring that tax dollars are spent appropriately. CMS’ aggressive program integrity measures lowered the estimated amount of Medicare fee-for-service (FFS) improper payments $7 billion from FY 2017-2019 to a total of $28.9 billion.


    ...
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  • Staff Reporter 1
    Provider Groups urge Congress to Extend the Medicare Sequester Cuts
    by Staff Reporter 1
    Provider Groups urge Congress to Extend the Medicare Sequester Cuts | site |




    (October 21, 2020) - - Today, October 21, 2020, the American Hospital Association (AHA) published the following information:




    Provider groups urge Congress to extend the Medicare sequester cuts



    Washington, D.C., October 21, 2020

    Joint AHA, AMA, AHCA and NAHC Statement on Medicare Sequester Cuts


    The American Hospital Association, the American Medical Association, the American Health Care Association and the National Association for Home Care and Hospice wrote congressional leaders today urging them to extend the congressionally enacted moratorium on the application of the Medicare sequester cuts into 2021 and through the duration of the public health emergency. Together, these organizations provide health care to more than 62 million Medicare patients, and the persistently high COVID-19 rates across
    ...
    10-27-2020, 06:04 AM
  • Staff Reporter 1
    CMS Approves Nebraska Medicaid Demonstration to Provide Pathway to Enhanced Benefits for Eligible Adults
    by Staff Reporter 1
    Centers for Medicare and Medicaid Services approves Nebraska Medicaid Demonstration to Provide Pathway to Enhanced Benefits for Eligible Adults | site |



    (October 20, 2020) - - The Centers for Medicare and Medicaid Services published today, October 20, 2020, the following information:

    Today, the Centers for Medicare & Medicaid Services (CMS) announced its approval of Nebraska’s new Medicaid Section 1115 demonstration called “Heritage Health Adult.” This demonstration is designed to create a pathway for certain Nebraska adults with newly gained Medicaid coverage to access additional benefits if they participate in certain activities to promote health and independence. This demonstration is effective October 20, 2020, through March 31, 2026, with implementation beginning April 1, 2021.


    “Governor Ricketts and his team deserve credit for responding to President Trump’s invitation to design innovative state-led solutions that promote
    ...
    10-22-2020, 11:20 PM
  • Staff Reporter 1
    Trump Administration Announces Historically Low Premiums and New Insulin Benefit as Medicare Open Enrollment Begins
    by Staff Reporter 1
    Trump Administration Announces Historically Low Premiums and New Insulin Benefit as Medicare Open Enrollment Begins | site |



    Medicare Parts A & B


    (October 15, 2020) - - Today, October 15, 2020, the Centers for Medicare & Medicaid Services published the following information: Today, the Centers for Medicare & Medicaid Services (CMS) announced that 2021 Medicare Open Enrollment is officially open and will run through December 7, 2020. More than 60 million people with Medicare can review health and drug plans, and make changes to their healthcare coverage for next year, based on their financial and medical needs, from the comfort of their homes. With Medicare Advantage (or private Medicare health plans) and Part D prescription drug plan premiums at historic lows – and hundreds of healthcare plans now offering $35 monthly co-pays for insulin – there are plenty of reasons to compare coverage options. As part of this year’s open enro...
    10-20-2020, 06:40 AM
  • Staff Reporter 1
    CMS Survey Data Illustrates Impact of COVID-19 on Medicare Beneficiaries’ Daily Life and Experiences
    by Staff Reporter 1
    Centers for Medicare and Medicaid Services Survey Data Illustrates Impact of COVID-19 on Medicare Beneficiaries’ Daily Life and Experiences | site |



    (October 16, 2020) - - The Centers for Medicare and Medicaid Services published today, October 16, 2020, the following information: Today, the Centers for Medicare & Medicaid Services (CMS) released data showing that 21% of Medicare beneficiaries report forgoing non-coronavirus disease 2019 (COVID-19) care due to the pandemic, and nearly all - 98% - of beneficiaries have taken preventative measures to keep themselves safe from the virus. According to the survey, the most common type of forgone care because of the pandemic was dental care (43%), followed by regular check-up (36%), treatment for ongoing condition (36%), and diagnostic or medical screening test (32%). The most common reason cited for forgoing care was not wanting to risk being at a medical facility (45%). Regarding COVID-19 preventative health behavi...
    10-18-2020, 04:21 AM
  • Staff Reporter 1
    Trump Administration Drives Telehealth Services in Medicaid and Medicare
    by Staff Reporter 1
    Trump Administration Drives Telehealth Services in Medicaid and Medicare | site |


    (October 14, 2020) - - The Centers for Medicare and Medicaid Services published today, October 14, 2020, the following information: Today, the Centers for Medicare & Medicaid Services (CMS) expanded the list of telehealth services that Medicare Fee-For-Service will pay for during the coronavirus disease 2019 (COVID-19) Public Health Emergency (PHE). CMS is also providing additional support to state Medicaid and Children’s Health Insurance Program (CHIP) agencies in their efforts to expand access to telehealth. The actions reinforce President Trump’s Executive Order on Improving Rural Health and Telehealth Access to improve the health of all Americans by increasing access to better care. “Responding to President Trump’s Executive Order, CMS is taking action to increase telehealth adoption across the country,” said CMS Administrator Seema Verma. “Medicaid patients should not be ...
    10-17-2020, 02:06 AM

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