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968 Articles Matching "cms"

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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CMS Wants To Expand Value-Based Payment Models Beyond Medicare

Jan 31, 2019 , Kaiser Health News
CMS Administrator Seema Verma said the agency will develop templates that states can use to implement similar pay models in their own programs. "Not every provider is comfortable taking full risk, but we can still figure out ways to create incentives for providers to deliver outcomes of low cost and high quality," she said....
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Verma: CMS value-based models could stretch beyond Medicare

Jan 30, 2019 , Modern Healthcare Breaking News
The CMS is creating templates and other tools to get states to incorporate upcoming value-based payment models. If other payers sign up, then CMS Administrator Seema Verma hopes more providers will...
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PhRMA balks at CMS’ proposed changes to protected drug classes

Jan 29, 2019 , Drug Store News - Clinical Retail
The Center for Medicare and Medicaid Services’ proposed changes to protected drug classes would jeopardize coverage for beneficiaries, according to PhRMA’s comments on the agency’s proposed rule. Read More...
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CMS launches first-ever consumer-facing app, for Original Medicare beneficiaries

Jan 29, 2019 (Jonah Comstock), Mobile Health News
The app lets those on Medicare search for products and services to see if they are...
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CMS launches app to help seniors determine what Medicare covers

Jan 29, 2019 , Modern Healthcare Breaking News
The new CMS app What's Covered shows beneficiaries whether Medicare covers a specific item or service and is part of the agency's eMedicare...
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Insurers blast CMS proposal on point-of-sale Part D rebates

Jan 29, 2019 , Modern Healthcare Breaking News
Insurers claim passing the rebates along to Medicare Part D beneficiaries will ultimately increase premiums or reduce...
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NACDS weighs in on DIR fee reform in comments to CMS

Jan 26, 2019 , Drug Store News - Retail
NACDS is making the case that DIR fee reform is necessary in its comments to the Centers for Medicare and Medicaid Services, which recently issued a proposed rule focused on reducing patient out-of-pocket costs. Read More...
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Maine governor rejects predecessor's Medicaid work rules

Jan 24, 2019 , Modern Healthcare Breaking News
Maine's Democratic governor wrote to the CMS that she's instead directing Maine's health and labor agencies to help prepare recipients of governmental assistance for...
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CMS revokes Ohio hospital's Medicare funding over low patient volume

Jan 23, 2019 , Modern Healthcare Breaking News
The CMS terminated an Ohio hospital's Medicare and Medicaid funding because it didn't serve enough patients. The hospital hopes the agency will delay the...
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How the CMS picks winners of valuable quality measure contracts

Jan 20, 2019 , Modern Healthcare Breaking News
Healthcare quality analysts say favoritism toward incumbents and fear of disrupting the status quo are major reasons why the same groups are repeatedly selected to develop and maintain quality measures for the...
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