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Centers for Medicare and Medicaid Services (CMS)

Latest Headlines

Latest Headlines

Battle lines drawn over new drug payment model

Lawmakers, physicians and patient advocates voiced a wide range of reactions to the Obama administration's proposed drug reimbursement model in a House subcommittee hearing on Tuesday, with some arguing the demonstration project should be scrapped entirely and others advocating for slight tweaks to address provider concerns.

CMS star ratings: The methodology behind the quality reports

A leading healthcare expert tried to explain the methodology a federal agency uses to arrive at star ratings for hospitals Thursday during a webinar where officials also outlined upcoming changes to the rating system.

New programs compare standardized exchange plans based on price, quality

The Centers for Medicare and Medicaid Services (CMS) has detailed two new changes to Healthcare.gov for the 2017 open enrollment period designed to simplify the process of choosing a health plan on the federal exchange, according to a CMS blog post.    

CMS penalties may punish hospitals for vigilance on infections

Critics argue that the way the federal government structures healthcare incentives punish academic medical centers for being vigilant on patient safety and reporting higher rates of hospital-acquired conditions, according to  The New York Times.

Making end-of-life conversations common practice remains uphill battle

Medicare's approval of reimbursement for end-of-life discussions with patients may provide some incentive for doctors uncomfortable with starting these sorts of conversations, but additional guidance and training will still be necessary, according to a story published in USA Today.

3 tips for physician quality data reporting

As physicians get a handle on quality reporting metrics, they're turning their focus to honing their processes and reporting in order to improve patient outcomes and navigate the new payment model.

Failure to fix Medicare fee structure could inhibit the move to value-based payment models

As Medicare continues its push to measure and reimburse healthcare services based upon value rather than volume, a failure to address the Medicare Physician Fee Schedule's rates could lead to substantial instability or outright failure, warns the authors of an article in the  New England Journal of Medicine.

New CMS utilization data links SNF payments to high therapy levels

CMS' skilled nursing facility utilization and payment data from 2013 has reignited concerns that the current payment structure is incentivizing unnecessary levels of therapy.  

Industry leaders weigh in on the state of the ACA

Some of the top healthcare policy experts in the country tackled the current state of the industry and the impact of the Affordable Care Act--both positive and negative--in a series of viewpoints published by the  Journal of the American Medical Association.

Government must protect consumers from limited-benefit plans, AHA says

The American Hospital Association wants the federal government to close a loophole in coverage requirements for employer-sponsored plans that it claims can harm consumers and hamper healthcare reform.