Centers for Medicare and Medicaid Services (CMS)

Latest Headlines

Latest Headlines

Some states want more authority over Medicare Advantage

Some state officials want more regulatory authority over Medicare Advantage plans. Right now, state regulators can't impose sanctions on Medicare Advantage plans; only the Centers for Medicare & Medicaid Services has that power.

Groups seek greater CMS transparency, better data standards

In response to lawmakers' call for comments on healthcare data transparency, three industry organizations sent letters asking that the Centers for Medicare & Medicaid Services release more data--and in a more useable form.

Former CMS head talks accountable care ROI

Both payers and providers can reap financial returns from ACO efforts, former Centers for Medicare & Medicaid Services Administrator and current Director of the Health Care Innovation and Value Initiative at the Brookings Institution Mark McClellan, M.D., Ph.D., told AAFP News.

Development problems continue for exchanges

There appears to be no evidence that the vendors for the Centers for Medicare & Medicaid Services have written the code to fix the  faulty back-end systems that deal with paying subsidies and billing qualified health plan enrollees.

CMS innovation awards look to bolster patient monitoring, health exchange

The Centers for Medicare & Medicaid Services has announced its second batch of recipients in round two of the Health Care Innovation Awards program, bringing the total to $360 million handed out for organizations to test innovative care models.

CMS wants more authority to recover Medicare Advantage overpayments

The Centers for Medicare & Medicaid Services wants to establish a formal process that allows it to use a payment offset system to handle disputes with Medicare Advantage insurers about potential payment errors.

CMS releases 2015 Physician Fee Schedule proposed rule

The Centers for Medicare & Medicaid Services issued its 2015 Physician Fee Schedule proposed rule late Wednesday. The rule is set to be published in the  Federal Register  on July 11.

CMS to dish out $60M on navigators for 2015 enrollment

The Centers for Medicare & Medicaid Services announced Tuesday that it will spend at least $60 million on navigators for the next enrollment period, reports  The Hill. 

Testimony raises plenty of concerns about ICD-10 delays

With the ICD-10 delay, CMS has squandered the opportunity to learn from the mistakes made with the 2012 switch in transaction standards, according to Holly Louie, chair of the Healthcare Billing and Management Association's ICD-10 Committee.

WEDI roadmap urges HHS to limit burden of ICD-10 delay

The Workgroup for Electronic Data Interchange urged the U.S. Department of Health and Human Services in a letter dated June 4 to take action to minimize disruption within the healthcare industry from the ICD-10 delay.