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CMS extends, expands fraud-fighting enrollment moratoria efforts in six states

CMS extends, expands fraud-fighting enrollment moratoria efforts in six states New demonstration enhances agency’s enrollment and investigative options Today, the Centers for Medicare & Medicaid Services (CMS) announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related demonstration project to allow for certain exceptions to the moratoria and heightened …

Medicare projects relatively stable average prescription drug premiums in 2017

CMS NEWS FOR IMMEDIATE RELEASE July 29, 2016 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries Medicare projects relatively stable average prescription drug premiums in 2017 Today, Medicare announced that the average basic premium for a Medicare Part D prescription drug plan in 2017 is projected to remain relatively stable at an estimated $34 per month. This represents …

Doctors Are Improperly Billing Some on Medicare, U.S. Says

WASHINGTON — Doctors are improperly billing poor people on Medicare for deductibles, co-payments and other costs from which they are supposed to be exempt, the Obama administration says. Federal officials have warned doctors that they may be subject to penalties if they persist in these practices. They could, for example, be fined or excluded from Medicare. The people who are …

Medicare’s “Big Data” Tools Fight & Prevent Fraud to Yield Over $1.5 Billion in Savings

By Dr. Shantanu Agrawal, Raymond Wedgeworth and Kelly D. Bowman In 2015, National ROI of $11.60 for Each Federal Dollar Spent A version of this commentary was published in May 24 editions of Modern Healthcare. New anecdotal content has been added. Please see the following link to view the original content – http://www.modernhealthcare.com/article/20160524/NEWS/160529960/commentary-medicares-big-data-tools-to-fight-and-prevent-fraud-yield Over the past five years, the CMS …

Pitching Medicaid IT in Silicon Valley

By Andy Slavitt, CMS Acting Administrator @aslavitt Earlier this year, I announced a new effort to connect new, innovative companies and their investors to the state Medicaid program IT space. Since this announcement, I have been encouraged by the initial interest from companies that may not have otherwise ever thought about participating in this important health insurance program that covers …

Senator Stabenow Applauds Medicare Proposal to Implement HOPE for Alzheimer’s Act

Tuesday, July 12, 2016 WASHINGTON, D.C. – U.S. Senator Debbie Stabenow (D-MI) today announced that the Centers for Medicare & Medicaid has proposed covering new care planning sessions under Medicare for Alzheimer’s patients and their families to provide an early assessment of the disease and possible treatment options. This proposal would effectively implement legislation introduced by Senator Stabenow, the Health …

2015-2025 Projections of National Health Expenditures Data Released

Total health care spending growth is expected to average 5.8 percent annually over 2015-2025, according to a report published today as a ‘Web First’ by Health Affairs and authored by the Centers for Medicare & Medicaid Services’ (CMS) Office of the Actuary (OACT). Projected national health spending growth remains lower than the average over previous two decades before 2008 (nearly …

The New York Times: National Health Spending To Surpass $10,000 A Person In 2016

National health spending will average more than $10,000 a person this year for the first time, the Obama administration said Wednesday, a milestone that heralds somewhat faster growth in health spending after several years of exceptionally low growth. By 2025, the administration reported, health care will represent 20 percent of the total economy, up from 17.8 percent last year. By …

man with nurse

Round One Health Care Innovation Awards Show Some Promising Results

The Health Care Innovation Awards is a Centers for Medicare & Medicaid Services (CMS) Innovation Center initiative that tests new payment and service delivery models and aims to find better ways to deliver care and bring down costs for Medicare, Medicaid, and/or Children’s Health Insurance Program (CHIP) enrollees. Today we are sharing the second annual independent evaluation reports of round …