CMS proposes new standards to strengthen the Marketplace for 2018

CMS News FOR IMMEDIATE RELEASE August 29, 2016 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries The Centers for Medicare & Medicaid Services (CMS) today issued the proposed annual Notice of Benefit and Payment Parameters for 2018, which proposes additional steps to strengthen the Health Insurance Marketplace. CMS is issuing this rule earlier in the calendar year in …

CMS examines inappropriate steering of people eligible for Medicare or Medicaid into Marketplace plans

Concerns raised about impact of 3rd party premium provider & affiliated organization payments The Centers for Medicare & Medicaid Services (CMS) today issued a request for information seeking public comment on concerns that some health care providers and provider-affiliated organizations may be steering people eligible for, or receiving, Medicare and/or Medicaid benefits into Affordable Care Act-compliant individual market plans, including …

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Medicare Advantage Value-Based Insurance Design Model

Medicare Advantage Value-Based Insurance Design Model Date 2016-08-10 Contact press@cms.hhs.gov Medicare Advantage Value-Based Insurance Design Model The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation is announcing refinements to the design of the second year of the Medicare Advantage Value-Based Insurance Design (MA-VBID) model. The MA-VBID model is an opportunity for Medicare Advantage plans (MA …

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 …

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 …