“Plans for the Quality Payment Program in 2017: Pick Your Pace”

As the baby boom generation ages, 10,000 people enter the Medicare program each day. Facing that demand, it is essential that Medicare continues to support physicians in delivering high-quality patient care. This includes increasing its focus on patient outcomes and reducing the obstacles that make it harder for physicians to practice good care. The bipartisan Medicare Access and CHIP Reauthorization …

Competitive bidding program continues to maintain access and quality while helping to save Medicare millions

CMS News FOR IMMEDIATE RELEASE September 8, 2016 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries Overview The Centers for Medicare & Medicaid Services (CMS) today announced the new single payment amounts and began sending contract offers to successful bidders for Medicare’s Round 1 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. These new …

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 …

picture of sign that says "Danger Fraud Alert"

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 …

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 Part D is coming up!

Many people are still working when they’re first eligible for Medicare, and they need to decide if they should get Medicare Part B coverage. Those newly eligible for Medicare who are still working or have employer coverage have important decisions to make. It’s important they understand how and when to enroll, as well as the consequences of not enrolling. Those …

Take Care With Medicaid

MEDICARE FRAUD COSTS taxpayers and the government. Anyone can abuse the system and commit health-care fraud: health-care providers, suppliers, employees, companies. Here’s some information to help you protect yourself from related scams. Examples of Medicare fraud you might encounter include: Someone uses your Medicare card to get unauthorized supplies, equipment or care A provider bills Medicare for services or equipment …