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 …

DIAGNOSIS: UNPREPARED Elderly Hospital Patients Arrive Sick, Often Leave Disabled

By Anna Gorman Photos by Heidi de Marco August 9, 2016 SAN FRANCISCO — Janet Prochazka was active and outspoken, living by herself and working as a special education tutor. Then, in March, a bad fall landed her in the hospital. Doctors cared for her wounds and treated her pneumonia. But Prochazka, 75, didn’t sleep or eat well at Zuckerberg …

Diagnosis: Unprepared

Hospitals can be hazardous places for elderly patients, who are at increased risk of falling, drug-induced injury and confusion. But as the nation’s senior population grows, many facilities are ill-equipped to address their unique needs. Kaiser Health News visited hospitals around the country, reviewed data and interviewed dozens of patients, family members and health providers to document the extent of …

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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 …

Delivering on the Promise of Better Care for Older Adults

CMS BLOG Delivering on the Promise of Better Care for Older Adults August 11, 2016 By Andy Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services (CMS) Since becoming acting administrator, I have spoken frequently about to the importance of moving to the next chapter in implementing the Affordable Care Act. This new chapter goes beyond providing people with quality, affordable …

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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 …

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You Gave, Now Save

NCOA, incollaboration with n4a, have updated our consumer guide to benefits, You Gave, Now Save. I have attached a PDF of the guide to this post; you can find it also on our website at www.ncoa.org/yougavenowsave . n4a did a limited print run of the guide, which they are offering through the Eldercare Locator (call 1-800-677-1116); there is an associated …

mi health link

MI Health Link Forum

Public Information Forum Providing answers and information for people with both Medicare and Medicaid Care Coordination and Person Centered Planning MAY 5TH MI HEALTH LINK FORUM Integrated care program for individuals eligible for Medicare and Medicaid. MI Health Link is the state’s integrated care program for individuals who are eligible for both Medicare and Medicaid. We encourage those who may …