Medicare & Medicaid

Jul 18 | Jeff Lagasse
While they agree with certain proposals, they take issue with others, as stated in letters the groups sent this week to…
CMMI chief to head HHS’ value-based agenda
Jul 18 | Jeff Lagasse
Health and Human Services officials said that regulations such as Stark Law and HIPPA are acting as roadblocks on the path to…
MA better than Medicare for chronically ill
Jul 13 | Jeff Lagasse
The program outperforms the fee-for-service version when it comes to higher rates of preventive…
Jul 12 | Susan Morse
CMS is also removing 34 process measures from MIPS as these measures are topped out, meaning…
Jul 11 | Susan Morse
Simplified durable medical equipment bidding will increase access for patients, competition and affordability,…
MA rankings penalize plans serving disadvantaged members
Jul 10 | Jeff Lagasse
After adjustments for race, poverty level and other factors, plans serving the highest proportions of…
Missouri mandates managed Medicaid or payment cut
Jul 06 | Susan Morse
State wants hospitals in-network with Centene, UnitedHealthcare and WellCare but with no apparent savings.
Jul 05 | Susan Morse
The appeal of Bundled Payments for Care Improvement Advanced is in it qualifying as an advanced APM but concerns…
Jun 29 | Susan Morse
CMS Administrator Seema Verma says she will confer with the Department of Justice to 'chart a path forward.'
CMS approves first state proposal for value-based drug contracts
Jun 27 | Susan Morse
But agency denies Massachusetts' request to choose drugs for its Medicaid formulary.