13 Nov 2019

CMS VERMA ATTACKS CRITICS OF MEDICAID WORK REQUIREMENT, PUSHES FOR TIGHTER ELIGIBILITY

By Phil Galewitz Seema Verma, the Trump administration’s top Medicaid official, Nov. 12  sharply attacked critics of her plan to force some Medicaid enrollees to work, a policy that led to thousands of people losing coverage in Arkansas. “We cannot allow those who prefer the status quo to weaponize the legal

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21 Jun 2019

CMS ISSUES RENEWED GUIDANCE IN EFFORT TO ENSURE MEDICAID PROGRAM INTEGRITY

The Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid agencies June 21 that outlines the necessary assurances that states should make to ensure that program resources are reserved for those who meet eligibility requirements. This guidance follows a series of steps that CMS has taken since

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11 Jun 2019

WHEN IT COMES TO OUR HEALTH – EVERY SECOND COUNTS

By Seema Verma Healthcare: American’s favorite debate topic.  While there is much to debate, we can all agree that the patient-provider relationship has been strained by unnecessary regulations and reporting requirements. Too much regulation has had the unintentional result of putting the government first and the patient second.  Time spent

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24 Apr 2019

CMS OUTLINES NEW PRIMARY CARE PAYMENT MODELS AIMED AT GREATER SHARED RISK APRIL 22

      The U.S. Centers for Medicare & Medicaid Services has proposed changes with several new primary care payment models, including one that would shift providers to global payments. The Trump Administration says it is building on the progress made over the last two years and further the CMS priority

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14 Dec 2018

VOLUNTARY MACRA CODES MAY DETERMINE WHAT DOCTORS ARE PAID

New patient relationship categories and codes are one of the most important provisions of the Medicare Access and CHIP Reauthorization Act (MACRA), according to a piece in the New England Journal of Medicine. In January 2018, the billing-code modifiers, which allow clinicians to report their relationship to a patient at a

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06 Nov 2018

CMS RELEASES FINAL 2019 PHYSICIAN FEE SCHEDULE NOV. 1

The Centers for Medicare & Medicaid Services (CMS) released the final 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule Nov. 1. According to CMS officials, the final rule modernizes Medicare payment policies to promote access to virtual care, saving Medicare beneficiaries time and money while improving

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02 Nov 2018

CMS DELAYS PROPOSED CHANGES TO E/M CODES IN FINAL RULE UNTIL 2021

The Centers for Medicare and Medicaid Services has proven that “final rules” are not always final. In response to complaints from physicians, CMS has delayed major changes to E/M codes until 2021. While CMS moved ahead with parts of its plan to consolidate codes for Medicare patient visits, it made

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01 Nov 2018

WISCONSIN MEDICAID WORK PROGRAM GETS CMS OK OCT. 31

The Centers for Medicare & Medicaid Services (CMS)  approved a waiver to implement work requirements in Wisconsin’s Medicaid program Oct. 31, making it the fourth state to enact such an approach.   Under the waiver, beneficiaries in the state’s BadgerCare program would have to engage in 80 hours a month of “community

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01 Nov 2018

HHS ANSWERS YOUR QUESTIONS ABOUT THE IPI DRUG PRICING MODEL

    By: Dan Best SEE RELATED ARTICLE: https://www.veintherapynews.com/wp-admin/post.php?post=1557&action=edit   Last week, as part of fulfilling President Trump’s promise to lower drug prices and cut down on foreign governments’ freeriding, HHS put forth a new way of paying for physician-administered drugs within Medicare, the International Price Index (IPI) Model. The model aims to:

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31 Oct 2018

CMS SEEKS COMMENT ON PROPOSED RULE TO USE IPI PAY MODEL BY DEC 31

The Centers for Medicare & Medicaid Services intends to test whether phasing down the Medicare payment amount for selected Part B drugs to more closely align with international prices will meet President Trump’s blueprint to lower drug costs and reduce out-of-pocket costs for patients. CMS is soliciting public comments by

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