Posts Tagged ‘proposes’
CMS Proposes New Rules For Medicare Advantage And Prescription Drug Plans To Better Serve Beneficiaries
The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule to improve performance of prescription drug and health plans by strengthening standards to participate in the Medicare program. Over the next 60 days, CMS will receive comments on the proposed revisions to the Medicare Advantage (MA) program (Part C) and Prescription Drug benefit program (Part D).
Medicare Proposes Cap On Home Health Care Agency Payments
The Miami Herald reports: “Fueled by massive fraud, home healthcare providers in Miami-Dade County are raking in more Medicare money than their colleagues in the rest of the country combined — thanks to bogus billings for patients with diabetes, authorities say. Now, Medicare is taking tough steps to stop agencies from filing hundreds of millions of dollars a year in false claims.
CMS Proposes Payment Changes For Home Health Services To Protect Beneficiaries And Medicare
The Centers for Medicare & Medicaid Services (CMS) announced a proposed 2.2 percent home health market basket update to the home health prospective payment system (HH PPS) rates for calendar year (CY) 2010. Also, as part of ongoing efforts to address potential fraud and abuse with regards to outlier payments under the HH PPS, CMS is proposing modifications to its outlier policy.
CMS Proposes Payment, Policy Changes For Physicians Services To Medicare Beneficiaries In 2010
The Centers for Medicare & Medicaid Services (CMS) announced today proposed changes to policies and payment rates for services to be furnished during calendar year (CY 2010) by over 1 million physicians and nonphysician practitioners who are paid under the Medicare Physician Fee Schedule (MPFS). The MPFS sets payment rates for more than 7,000 types of services in physician offices, hospitals, and other settings.
New Democrat Coalition Proposes Independent Panel To Oversee Comparative Effectiveness Research
Members of the moderate New Democrat Coalition on Tuesday proposed legislation (HR 2502) that would establish a non-governmental, independent office to oversee research efforts to compare the effectiveness of medical treatments, CQ HealthBeat reports.
CMS Proposes More Accurate Payment Rates For Medicare Skilled Nursing Facilities In Fiscal Year 2010
The Centers for Medicare & Medicaid Services (CMS) proposed adjustments to fiscal year (FY) 2010 payment rates to better reflect the cost of caring for Medicare beneficiaries in nursing homes. The rule calls for payments to Medicare skilled nursing facilities to be reduced by $390 million, or 1.2 percent lower than payments for FY 2009. This adjustment to nursing facility payments is an effort to rebalance an earlier adjustment to the case-mix indexes (CMIs).
CMS Proposes Fy 2010 Payment And Policy Updates For Inpatient Rehabilitation Facilities
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on April 28, 2009 that would update payment rates and clarify the framework for Medicare patient selection and care in inpatient rehabilitation facilities (IRFs) during fiscal year (FY) 2010. The proposed rule would apply to more than 200 freestanding IRFs and over 1,000 IRF units in acute care hospitals, and would be effective for discharges occurring on or after October 1, 2009.
Sen. Baucus Proposes Medicare Changes He Says Could Drive ‘Transformation Of The Health Care Delivery System’
The Senate Finance Committee on Wednesday during a six-hour meeting discussed proposed changes to the Medicare system from committee Chair Max Baucus (D-Mont.) and ranking member Chuck Grassley (R-Iowa), the New York Times reports (Pear, New York Times, 4/30).
Haley Group Proposes “Revenue Without Taxation” Plan For Medicare And Medicaid Reform
The Haley Group has proposed a Medicare and Medicaid reform plan to Senator Richard Lugar which could generate $797 billion without taxation over 20 years. David Haley, CEO of Haley Group, states, “Generating revenue without taxation is not the usual way government works. Our plan not only does this, it is achieved with NO reduction in program benefits or in the number of program enrollees. We urge federal and all state governments to closely examine the merits of this plan.
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