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Centers for Medicare and Medicaid Services (CMS)

Latest Headlines

Latest Headlines

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, according to the Associated Press.

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.

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.