Cardon Children's Medical Center

916 Articles Matching "cms"

Insurers want to lead if CMS pilots payments for housing, social determinants of health

Dec 15, 2018 , Modern Healthcare Breaking News
Insurance industry officials want the CMS to give them a leading role in any pilot progams allowing the feds to pay for housing and similar social needs of...
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Using remote surveillance, interventions to treat sepsis patients early

Dec 15, 2018 , Modern Healthcare Breaking News
WellSpan Health has achieved an 85% compliance rate for CMS' sepsis treatment bundle largely because of a remote team of nurses who surveil patients' vital signs and sepsis alerts from the...
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CMS: Health care spending growth slowed in 2017

Dec 08, 2018 , Drug Store News - Retail
As health care spending growth slowed to 3.9%, retail prescription drug spending growth fell to 0.4% — the lowest it's been since 2012, according to a report from the Centers for Medicare and Medicaid services. Read More...
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CMS finalizes plan to continue risk-adjustment program for 2018

Dec 08, 2018 , Modern Healthcare Breaking News
The CMS issued a final rule that allows the agency to continue the normal operations of the Affordable Care Act risk-adjustment program for...
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Lower utilization dampened health spending growth in 2017

Dec 07, 2018 , Modern Healthcare Breaking News
The rate of U.S. healthcare spending growth slowed from 2016 to 2017, driven by reduced use and intensity of hospital care, physician services and prescription drugs, according to CMS' Office of the...
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N.H. Democrats blast Medicaid for changing work requirements

Dec 06, 2018 , Modern Healthcare Breaking News
New Hampshire's new Democratic legislative leaders are criticizing the CMS for revising the state's proposed Medicaid work requirement program without the state asking for the...
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New CMS star ratings ignore socio-economic factors

Dec 06, 2018 , Modern Healthcare Breaking News
The CMS didn't risk-stratify hospitals by peer groups based on their dual-eligible population as it currently does in the Hospital Readmissions Reduction Program. That can earn hospitals low ratings for caring for poor and chronically ill...
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Big changes are coming to Medicare reimbursement for connected health

Dec 06, 2018 jonah.comstock@mobihealthnews.com (Jonah Comstock), Mobile Health News
At HIMSS19, ACT | The App Association's Brian Scarpelli will lay out the details of what he calls a "sea change" in CMS' policy toward remote patient...
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Verma touts MyHealthEData at White House interoperability forum

Dec 05, 2018 , Modern Healthcare Breaking News
The White House gathered a group of interoperability boosters on Tuesday for its Forum on HealthCare Data Interoperability, where the CMS and others pushed for greater data exchange, including for...
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Trump Administration Tells States To Scale Back Their Certificate-Of-Need Laws And Scope Of Practice Rules

Dec 05, 2018 , Kaiser Health News
And the White House called on the Justice Department and the Federal Trade Commission to "monitor the competitive landscape" of providers to "prevent anti-competitive behavior." In other hospital news: CMS star ratings, community benefit reporting, ER violations, and...
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Medicare Advantage provider directories still riddled with errors

Dec 05, 2018 , Modern Healthcare Breaking News
The CMS found Medicare Advantage plans' provider directories have widespread inaccuracies for the third year in a row, which could lead to fines for the...
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Medicare orders more weekend inspections at thinly staffed nursing homes

Dec 04, 2018 , Modern Healthcare Breaking News
Nursing homes with lower-than-average weekend staffing will face more frequent weekend inspections by state survey agencies checking up on quality of care and resident safety, the CMS...
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CMS changes to hospital star ratings don't address concerns

Dec 04, 2018 , Modern Healthcare Breaking News
The CMS will update star ratings for Hospital Compare in February after a 14-month delay to resolve issues with the model, but the agency did not address some of critics' biggest...
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CMS allows states to get creative with federal exchange funds under 1332 waivers

Nov 30, 2018 , Modern Healthcare Breaking News
The CMS has issued four new examples on how states can use 1332 waivers to customize health insurance offerings. But a former agency official warns that using any of the new flexibilities could result in...
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Most skilled-nursing facilities penalized by CMS for readmission rates

Nov 29, 2018 , Modern Healthcare Breaking News
Of the 14,959 skilled-nursing facilities subject to the CMS' Skilled Nursing Facility Value-based Purchasing Program, 73% received a penalty while 27% got a bonus for fiscal...
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CMS’ proposed DIR fee reform garners industry support

Nov 29, 2018 , Drug Store News - Retail
The National Association of Chain Drug Stores, the National Community Pharmacists Association and the National Association of Specialty Pharmacy all praised the Center for Medicare and Medicaid services for its proposed rule that focuses on reforming direct and indirect remuneration, or DIR fees, under Medicare Part D. Read More...
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CMS threatens to revoke Vanderbilt's Medicare participation after patient death

Nov 29, 2018 , Modern Healthcare Breaking News
Vanderbilt University Medical Center would be terminated from the Medicare program next month if it doesn't explain how it has corrected problems related to an incident where a patient died after receiving a large dose of the wrong...
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Medicare wage index overhaul urged by HHS inspector general

Nov 27, 2018 , Modern Healthcare Breaking News
The CMS overpaid some hospitals at least $140.5 million due to an often inaccurate tool used to set Medicare payments. HHS' Office of Inspector General says the wage index system needs to be overhauled to mend...
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Medicare considers passing pharmacy rebates to Part D patients

Nov 27, 2018 , Modern Healthcare Breaking News
In a sweeping new proposal focused on Medicare Advantage and Medicare Part D, the CMS is considering a policy to cut off pharmacy profits through rebates and give Medicare Part D plans more power to negotiate protected class drug...
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Prospect of CMS paying for housing attracts attention, advice and questions

Nov 27, 2018 , Modern Healthcare Breaking News
Providers and policy analysts welcomed the CMS' news it may offer a payment model for hospitals to provide housing and other social services, but they argue that success depends on collaborating with other agencies and...
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