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Norwalk named acting director of CMS

September 26, 2006 — 8:01pm ET

Leslie Norwalk has been named acting director of the Centers for Medicare and Medicaid Services. She will be replacing CMS Administrator Mark McClellan, who announced that he was stepping down from his post to join a think tank focused on improving the U.S. healthcare system. "She is a nationally recognized expert on Medicare issues and played a central role in the successful implementation of the prescription drug benefit and other reforms to Medicare and Medicaid," Mike Leavitt, …

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ALSO NOTED: Would more docs improve care quality?; MD drags patients to Board hearing; and much more...

July 9, 2006 — 8:00pm ET

> A The New York Times Op-Ed observes that pumping more doctors into the healthcare system doesn't necessarily improve quality of care. Op-Ed

> Oklahoma's Dr. Robert Kale is in hot water with the Arkansas Medical Board after showing up at an Arkansas MD's board hearing with a crowd of well-wishers--including several of Kale's own patients. Kale had threatened to drop the patients if …

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ALSO NOTED: New Orleans hospital system has only 456 beds; Sales of home diagnostic kits surging; and much more...

March 28, 2006 — 8:00pm ET

> A congressional inquiry found that the healthcare system in New Orleans remains crippled seven months after Hurricane Katrina. The GAO released a study that finds only 456 staffed beds in the city. Article

> Sales of home diagnostic kits are surging, leading to criticism from some doctors. …

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CMS announces ePrescribing pilot

January 19, 2006 — 8:01pm ET

The Centers for Medicare and Medicaid Services will spend $6 million on a pilot project to test the effectiveness of ePrescribing technologies during the first year of Medicare Part D. SureScripts, partnering with Brown University and five other vendors, gets $2 million to evaluate the effectiveness of programs that encourage physicians to send prescription information electronically to pharmacies. Individuals pilots are set to move forward in Florida, Massachusetts, Nevada, New …

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Insurers ordered to honor prescriptions

January 16, 2006 — 8:01pm ET

The Bush administration has ordered insurers to provide a temporary 30-day supply of medicines to Medicare Part D recipients in an effort to control growing problems. The White House also ordered co-pays for low income seniors to be capped at $5 per prescription. The move is seen as an admission that things are not going as smoothly as they could be. Over the weekend, Centers for Medicare and Medicaid Services administrator Dr. Mark McClellan conceded that "thousands" of program …

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Pay-Per-Performance and Quality Reporting

December 22, 2005 — 8:01pm ET

To an outside observer there is no reason why hospitals and doctors would resist attempts to improve the quality of the services they provide. After all, better healthcare should be a win-win proposition for all concerned. The devil, as usual, is in the details. And what exactly constitutes "better healthcare" turned out to be the subject of much debate.

2005 was the year that the Centers for Medicare and Medicaid Services decided to launch a serious push for quality reporting. …

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Calif. hospitals accused of overbilling Medicare

December 18, 2005 — 8:01pm ET

The Centers for Medicare and Medicaid Services has launched a drive to recover what officials describe as "billions" of dollars in overpayments from the government Medicare program to California hospitals. The California Hospital Association says 20 hospitals in the state received letters from the agency demanding an explanation for suspicious charges. An unknown number received so called "demand letters" ordering them to repay the government within 30 days. According to reports, some …

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AMA angry about CMS quality program

November 8, 2005 — 8:01pm ET

The American Medical Association has issued a formal complaint to the Centers for Medicare and Medicaid Services, attacking the agency's Physician Voluntary Reporting Program. The AMA sent a letter of protest to CMS Administrator Mark McClellan this morning saying that it wants the agency to cancel the program and come to the bargaining table. The dispute is partly because the reporting system would require extra codes and system rework for participating physicians.

- see this article from The Hill

CMS releases e-prescribing rules for Medicare Part D

November 1, 2005 — 8:01pm ET

The Centers for Medicare and Medicaid Services released its long awaited e-prescribing standard. The new rules, which go into effect with the arrival of Medicare Part D in January 2006, will require health plans which offer prescription drug plans in conjunction with Medicare to support e-prescribing. The new rules fall short of the more sweeping changes some critics had wanted, however. Some observers had argued the government's e-prescribing initiative should cover all e-prescribing …

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CMS releases physician data reporting guidelines

October 30, 2005 — 8:01pm ET

The Centers for Medicare and Medicaid Services (CMS) announced an initiative that will give physicians the ability voluntarily to report data on 36 new quality measures. The first phase of the Physician Voluntary Reporting Program will go into effect in January 2006. The announcement was made Friday afternoon by CMS administrator Dr. Mark McClellan. "Physicians are in the best position to know what can work best to improve their own practices and ultimately the quality of care available …

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