Affordable Care Act payment model continues to improve care, lower costs

CMS News FOR IMMEDIATE RELEASE August 9, 2016 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries The Independence at Home Demonstration continues to provide high quality primary care services for chronically ill Medicare beneficiaries in the home setting while saving the Medicare program money, according to a new analysis released today by the Centers for Medicare & Medicaid …

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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 …

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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 …

Michigan Medicaid waiver appears to save eligibility for 600,000 residents

By Virgil Dickson  | December 17, 2015 The CMS denied a request to allow Michigan to increase cost-sharing for Medicaid beneficiaries but granted other provisions of an unusual take-it-or-leave-it waiver application submitted under a mandate from state lawmakers. The terms are outlined in the approved waiver sent to the state Thursday. Earlier this fall, Michigan submitted a take-it-or-leave-it request to the …