Aging News Alert

Medicare/Medicaid

 
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CMS Extends Comment Period on Data Items for IMPACT Act

CMS is soliciting public comment on a collection of standardized assessment-based data items developed under the Improving Medicare Post-Acute Care Transformation Act of 2014.

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OIG: Massachusetts Home Health Agency Overbilled Medicare $15.5 Million

A Lawrence, MA-based home healthcare firm received Medicare overpayments of at least $15.5 million during a 24-month period beginning January 2011 and ending December 2012, according to estimates by auditors from the Department of Health and Human Services’ Office of Inspector General (OIG).

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CMS Releases Private Data on Rx Drugs for Part D Program

If you ever wanted to know how much Medicare spends on the prescription drugs it buys for the Part D program, now’s your chance. The Centers for Medicare & Medicare Services (CMS) has just released privacy-protected data on the prescription drugs that were paid for under the Medicare Part D Prescription Drug Program in 2014.

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Agency Proposes First Major Updates to PACE in a Decade

CMS this past week proposed the first major update in a decade to the PACE program. The Programs of All-inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community in which they live instead of a nursing home or other care facility. The focus is on the participant. A team of health care professionals works to make sure that care is coordinated in the home, the community, and at a PACE center.

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CMS Opens New Comprehensive Primary Care Model in 14 States

The Centers for Medicare & Medicaid Services (CMS) on Tuesday (Aug. 2) opened the application period for practices to participate in the new nationwide primary care model known as Comprehensive Primary Care Plus (CPC+).

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CMS Poised to Unveil Quality 'Star Ratings' for Nation's Hospital

Just as it promised earlier this year, CMS is about to apply it’s now famous “Star Rating” system to the nation’s hospitals. “We have previously stated our intention to begin posting this overall star rating on Hospital Compare in 2016, which we expect to begin shortly,” the agency said in a prepared statement.

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SNF Quality Reporting Program Training: Registration Open

CMS will host a one-day training event on the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) in Chicago on Wednesday, Aug. 24.

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CMS Offers 10-year Projections of U.S. Health Expenditures

In 2015, medical price growth is estimated to continue to be very low, helping to restrain overall health spending growth. In addition, the Medicare program is testing various alternative payment approaches, which may provide some relief to long-term spending growth, even as a record number of people age into Medicare. Overall, national health expenditures are estimated to have reached $3.2 trillion in 2015.

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CMS Proposes Hospital Outpatient Prospective Pay System Changes

The agency contends that several of the proposed policy changes would improve the quality of care Medicare patients receive by better supporting their physicians and other health care providers. The proposals are based on feedback from stakeholders, including beneficiary and patient advocates, as well as health care providers, including hospitals, ambulatory surgical centers and the physician community.

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Proposed Changes to Docs’ Fee Schedule Impacts Care for Seniors

Get ready for more changes in how the Centers for Medicare & Medicaid Services (CMS) pays primary care physicians. The proposed changes should be of significant interest to physicians and clinicians who specialize in caring for seniors.

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