Improved Medicaid Prescription Drug Rebates

Centers for Medicare and Medicaid Services is hoping to save the pockets of taxpayers by employing a new rule to the Affordable Care Act. "The Affordable Care Act substantially reformed Medicaid payments for prescription drugs, increasing rebates and setting limits on federal reimbursements.  The “Covered Outpatient Drugs” final rule ensures those reforms will be effectively implemented by providing further detail on how those reimbursements and rebates are calculated, part of CMS’ broader efforts to help ensure affordability and accessibility of prescription drugs, while supporting pharmaceutical innovation..." [ Read more here ]

By | January 25th, 2016|Medical News|0 Comments

CMS Introduces The IMPACT Act

Centers for Medicare and Medicaid Services newly announced Improving Medicare Post-Acute Care Transformation (IMPACT Act) is discusses with the professionals at CMS.

By | January 12th, 2016|Financial, Medical News|0 Comments

Preventing DME Fraud With Prior Authorization

A new prior authorization rule from Centers for Medicare and Medicaid Services (CMS) is being put into place to help prevent fraud of durable medical equipment. "The rule states that the documentation to meet authorization for DMEPOS is needed earlier in the process in order to furnish the items, which are often mobility devices like motorized wheelchairs. Medicare will pay up to 80% of their cost if a physician deems the item is necessary; they can can cost $5,000 or more..." [ Read more here ]

By | December 31st, 2015|Blog, Medical News|0 Comments

CMS Releases Drug Spending Tool

With our nations increase in prescription drug use Centers for Medicare and Medicaid Services has released a new tool that breaks down Medicare spending on these drugs. "Many people may not realize that Medicare is one of the largest purchasers of prescription drugs in the country, so the program has rich data on how much money we’re spending on these drugs... The tool includes information on a total of 80 drugs: 40 that are covered under the Medicare Prescription Drug Program (Part D) and 40 that are administered by physicians and other professionals." [ Read more here ]

By | December 22nd, 2015|Blog, Medical News|0 Comments

2014 National Health Expenditures Released By CMS

Centers for Medicare and Medicaid Services has released its annual report for 2014 on national health expenditures. "In 2014, per-capita health care spending grew by 4.5 percent and overall health spending grew by 5.3 percent, a study by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) published today as a Web First byHealth Affairs. Those rates are below most years prior to passage of the Affordable Care Act..." [ Read more here ]

By | December 16th, 2015|Blog, Medical News|0 Comments

Healthcare Tracking With CMS

Centers for Medicare and Medicaid Services (CMS) new Program Statistics is tracking healthcare statistics across multiple providers. "...Program Statistics, which includes detailed summary statistics on national health care, Medicare populations, utilization, and expenditures, as well as counts for Medicare-certified institutional and non-institutional providers..." [ Read the story here ]

By | November 27th, 2015|Blog, Medical News|0 Comments

CMS Working For Improved Health Plans For 2017

Centers for Medicare and Medicaid Services has announced it is working on improvements to its participation in the Health Insurance Marketplaces. Kevin Counihan, CEO of Health Insurance Marketplaces said: "As we enter into our third year, the Health Insurance Marketplace continues to grow, with millions of people looking to the Marketplace as their source for quality, affordable health coverage that will be there when they need it. We’re off to a good start with tens of thousands more Americans turning to the Marketplace for health coverage every day, and even more returning for another year...”  [ Read the story here ]

By | November 24th, 2015|Blog, Medical News|0 Comments

CMS Report On ACA Premiums

Centers for Medicare and Medicaid Services has released a report on the effect of the Affordable Care Act on healthcare premiums. "The Centers for Medicare & Medicaid Services (CMS) released a new report today showing that consumers have received more than $2.4 billion premium rebates since 2011 because the Affordable Care Act requires that health insurance companies spend at least 80 percent of premium dollars on health care. For 2014 alone, over 5.5 million consumers received nearly $470 million in rebates, for an average of $129 per family. Those rebates are in addition to improvements in quality and affordability savings consumers have received as the share of insurance companies in compliance with the requirements [...]

By | November 20th, 2015|Blog, Medical News|0 Comments

CMS Funding Children’s Healthcare

Centers for Medicare and Medicaid Services (CMS) has announced it will be making strong efforts in promoting healthcare for children. "The Centers for Medicare & Medicaid Services today announced $32 million in available funds to support efforts to reach out to families with children eligible for Medicaid and the Children’s Health Insurance Program (CHIP) and help get them covered.  The funds will support activities aimed at alerting families to the availability of free or low-cost health coverage under Medicaid and CHIP, identifying children likely to be eligible, and assisting families with the application and renewal process.  Medicaid and CHIP provide comprehensive coverage to the nation’s most vulnerable children...." [ Read the story here [...]

By | November 17th, 2015|Blog, Medical News|0 Comments

CMS Announces 2016 Medicare Premiums & Deductibles

Centers for Medicare and Medicaid Services has announced its 2016 medicare part a and part b premiums and deductibles, noting there will be no increase for some. "As the Social Security Administration previously announced, there will no Social Security cost of living increase for 2016. As a result, by law, most people with Medicare Part B will be “held harmless” from any increase in premiums in 2016 and will pay the same monthly premium as last year..." [ Read the story here ]

By | November 15th, 2015|Blog, Medical News|0 Comments