Centers for Medicare and Medicaid Services (CMS)

Latest Headlines

Latest Headlines

GAO slams oversight of state insurance marketplace IT spending

The federal government has fallen short in tracking spending on state health insurance marketplaces, dividing responsibility across multiple offices and creating confusion in the process, according to a report from the Government Accountability Office.

Observation status, ED visits create illusion of fewer readmissions, quality gains

Even as the government claims preventable hospital readmissions have dropped, a dramatic increase in hospitals' use of observation status and emergency care in lieu of readmission suggests many providers are gaming the quality standards.

CMS: Success of bundled-payment program leads to 360 new participants

After a Centers for Medicare & Medicaid Services bundled payment pilot project saved $1 million its first year while strengthening outcomes, CMS announced 360 more providers will join the program.

Five-star hospitals double in quarterly Hospital Compare update

The number of hospitals earning perfect scores on the Centers for Medicare & Medicaid Services' five-star scale doubled in a new round of ratings.

CMS proposed payment schedule includes end-of-life planning

Physicians may soon be paid for  end-of-life conversations with their patients  under  proposed changes  to the 2016 Medicare Physician Fee Schedule--a move that could catch on with private payers, as well.

CMS proposes to ease--but not abolish--two-midnight rule

The Centers for Medicare & Medicaid Services this week proposed an amendment to the broadly unpopular "two-midnight rule" for patients' inpatient and outpatient status.

CDS systems still lack imaging appropriateness criteria

Clinical decision support systems can help reduce the number of orders for unnecessary imaging, but practical challenges remain when it comes to putting the tools to work in clinical settings, according to a study by the RAND Corp. published in of the Journal of the American Medical Association.

CMS releases new physician, hospital payment data

Newly released data from the Centers for Medicare & Medicaid Services show that Medicare reimbursements to doctors are far from evenly distributed, while hospital charges for top procedures and conditions have increased moderately.

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.