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Centers for Medicare and Medicaid Services (CMS)

Latest Headlines

Latest Headlines

Proposed rule: Medicaid insurers must cover mental health benefits

Medicaid insurers would be required to provide the same mental health and substance abuse coverage to their members as private plans do under a new proposed rule from by the Centers for Medicare & Medicaid Services.

2014 QIO report shows encouraging results on adverse drug events, cost savings

Quality Improvement Organizations generated nearly $1 billion in savings and prevented more than 44,000 adverse drug events over a three-year period, according to a Centers for Medicare & Medicaid Services' progress report.

CMS promises to overhaul Open Payments database

The Centers for Medicare & Medicaid Services has vowed to learn from the mistakes it made in its first round of publishing data about financial relationships between providers and healthcare manufacturing companies to improve the fairness and accuracy of information in its next round of disclosures,    Law360  repo rted.

Despite controversy, Sunshine Act backers look to expand law's reach

Requiring healthcare providers to disclose their financial relationships with healthcare manufacturing companies has been a step in the right direction for transparency, but the information has to cover more types of providers and be put in better context in order to improve the quality of care and stem spiraling healthcare costs.  

CMS revises RAC program to increase transparency, oversight

The Centers for Medicare & Medicaid Services announced revisions to its Recovery Audit Contractors program to sharpen agency oversight, reduce the burden on providers and increase transparency.

Medicare Advantage plans could lose members to feds

If Medicare Advantage plans drop significant amount of providers from their networks, their affected members can leave those plans and enroll instead in traditional Medicare.

CMS: 257,000 docs will receive Meaningful Use penalties

The Centers for Medicare & Medicaid Services revealed Wednesday that roughly 257,000 Medicare eligible professionals will be hit with a 1 percent penalty to their Medicare Physician Fee Schedule payments beginning Jan. 5, 2015, for failing to meet Meanin gful Use  by Oct. 1, 2014.

CMS invites states to change ACA benchmark plans for 2017

The federal government is letting states choose a different essential health benefits benchmark plan for 2017, and this news may re-ignite public debate about what types of services health insurance should cover in plans sold pursuant to the Affordable Care Act,  LifeHealthPRO  reported.

Readmission penalties reach record high

The Centers for Medicare & Medicaid Services levied a record number of fines against hospitals for excessive readmissions, according to a  Kaiser Health News  analysis of federal records released this week.

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.