medicare and medicaid services
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Latest blogosphere posts tagged “medicare and medicaid services”
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One of the reasons our health care costs are so high…
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… is because we refuse to standardize prices for treatment. I think I have told this story before but here it is again. My French lab partner’s husband had a hernia operation. It was outpatient and he spent about 4 hours in the hospital, not even enough time to get his gourmet meal. When she got the bill, ...6 days ago -
RACs reclaim $1.37B in overpayments as criticism mounts
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In the first six months of fiscal 2013, Medicare recovery auditors (RAC) collected $1.37 billion in overpayments and returned $65.4 million in underpayments, according to new data from the Centers for Medicare & Medicaid Services. read more1 week ago -
CMS Will Hold a Conference Call on Wednesday, May 22 to Discuss the National Physician Payment Transparency Program
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By Nancy A. Henshaw The Centers for Medicare and Medicaid Services (CMS) is continuing its efforts to inform interested parties on its National Physician Payment Transparency Program (Program). The Program implements the Transparency Reports and Reporting of Physician Ownership or Investment Interests ...1 week ago -
American Health Care as a Source of Humor
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How American hospitals reach their pricing policies could make you laugh, if youre not a patient, an economist writes.1 week ago -
Public Exchange Applications Shortened
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The Center for Medicare and Medicaid Services (CMS) issued a statement on April 30, 2013 that the public exchange applications, officially referred to as the Marketplace Consumer Applications, have been revised. The Invidual Short Form is now just three pages in length. The Family Form is … Continue reading ...1 week ago -
CMS releases hospital price-comparison data
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CMS today for the first time released data comparing average hospital charges for the 100 most common Medicare claims, illustrating wide variations not just across regions but within cities. read more1 week ago -
CMS Posts Revised Templates For Data Collection and Submission of Reports Required By the Sunshine Act
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By Rachael Garrison The Centers for Medicare and Medicaid Services (CMS) is continuing its efforts to quickly implement the Transparency Reports and Reporting of Physician Ownership or Investment Interests section of the Patient Protection and Affordable Care Act, commonly referred to as the “Sunshine Act.” ...1 week ago -
Big Data Analytics Salesmanship: A Free Public Service for the Data Management Vendors
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By Dr. Jaan Sidorov First Posted at Disease Management Care Blog on 5/6/2013 While the Disease Management Care Blog continues to delight in the clever electronic health record humor of the Extormity web site, little did it know that the same over-promising jargon typical of the EHR hucksters would be adopted by ...1 week ago -
CMS proposes modest pay bumps for inpatient rehab, skilled nursing facilities
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The Centers for Medicare & Medicaid Services has proposed rules calling for modest increases in payments for rehabilitation facilities and skilled nursing facilities, as well as a huge boost in awards for reporting Medicare fraud. read more1 week ago -
Bigger carrots, stronger sticks key to cost containment
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Effective cost reform will require stronger Medicare and Medicaid incentives for providers and increasingly stronger sticks to discourage nonparticipation, according to an analysis published in the May issue of the journal Health Affairs . read more1 week ago -
CMS Publishes List of Teaching Hospitals Subject to Reporting Under the Sunshine Act
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By James E. Squier On February 1, 2013, the Centers for Medicare and Medicaid Services (CMS) announced the release of the final regulations implementing the Transparency Reports and Reporting of Physician Ownership or Investment Interests section of the Patient Protection and ...1 week ago -
IPABs Non-Existence Is A Problem Too
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Over at the Washington Post , Sarah Kliff notes that the Independent Payment Advisory Board is out of the woods for now: “IPAB would only come into effect when Medicare’s per-enrollee spending grew faster than the average of overall price growth…a few days ago, acting chief actuary Paul Spitalnic ...1 week ago -
Providers wont see IPAB-recommended cuts till 2016
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With Medicare cost growth under control for the time being, the controversial Medicare Independent Payment Advisory Board (IPAB) is "effectively neutered" until at least fiscal 2016, The Washington Posts Wonkblog reported. read more1 week ago -
CMS to remove HAC data from Hospital Compare website
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The Centers for Medicare & Medicaid Services is going to remove information about eight potentially life-threatening, hospital-acquired conditions from its Hospital Compare website while it develops a new set of conditions. read more2 weeks ago -
Bucks Blog: Shorter Forms for Coverage Under New Health Law
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Earlier versions of the forms to apply for coverage under the new health law ran to 21 pages.2 weeks ago -
HHS proposes bigger reward for fraud tipsters
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Medicare is dramatically upping the ante on Medicare fraud, increasing the reward for tips leading to the recovery of fraudulently obtained benefits to $9.9 million--up from just $1,000 today. read more3 weeks ago -
Senate confirmation for CMS administrator put on hold
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Not long after receiving a unanimous endorsement by the Senate Finance Committee, Sen. Tom Harkin (D-Iowa) has placed a hold on Tavenners nomination. read more3 weeks ago -
Tavenner wins Senate committee, provider support to head CMS
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Marilyn Tavenner was unanimously endorsed Wednesday by the Senate Finance Committee to head the Centers for Medicare & Medicaid Services, which has been without a permanent administrator since 2006. read more3 weeks ago -
CMS: Expanded competitive bidding to save $25.7B by 2020
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Expanded competitive bidding for durable medical equipment, prosthetics and other supplies will lower prices by about 45 percent, while prices for mail-order diabetic testing supplies will drop by as much as 72 percent, according to the Centers for Medicare & Medicaid Services. read more4 weeks ago
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