Reduction of payment for patients transferred to post-acute care facilities after a hospital stay; Submission of comments on the inpatient rule by Premier; Letter written for Mark McClellan, director of CMS.EBSCO_bspHealthcare Strategic Management...
“This proposed rule prioritizes CMS’ role as a good steward of Medicaid dollars while also strengthening program integrity and the management of pharmacy benefits for people with Medicaid coverage,” CMS Administrator Chiquita Brooks-LaSure said in the press release. “We’re committed to...
an organization must solely meet the requirements in the application; however, the application requirements do not look at an organization’s past performance in existing contracts. This proposed rule would add: (1
CMS has issued a proposed rule that unleashes innovative technology so Medicare beneficiaries have access to the latest, most cutting-edge devices, according to a press release on CMS’ website. The proposal would “provide national Medicare coverage on the same day as Food and Drug Administration...
On August 31, 2022, CMS issued a proposed rule to reduce coverage gaps by streamlining the application, enrollment, and renewal process for coverage...
At Presstime: CMS Issues LTCH Proposed Rule. (cover story)The article reports on the long-term acute care hospitals (LTCHs) rule that was issued by the Centers for Medicare and Medicaid Services. The said rule is designed to assure appropriate payment for services by LTCHs to medically ...
CMS recently proposed a rule to improve prior authorization processes by reducing the burden on providers and patients. This proposed rule would place new requirements on Medicaid and CHIP managed care plans, state Medicaid and CHIP fee-for-service programs, and Qualified Health Plans (QHP) issuers...
The public comment period for the Proposed Rule closes on Sept. 9, 2024. This Holland & Knight alert provides an overview of key proposals contained in the Proposed Rule. The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Hospital Outpatient Prospect...
Factor 2— CMS calculated Factor 2 for the FY 2022 proposed rule to be 0.7214 (72.14%). The uncompensated care amount would be $10.573 billion multiplied by 0.7214, or $7.628 billion. CMS indicates this is roughly $662 million below the 2021 uncompensated care amount of $8.290 billion and ...
“Within the proposed rule, CMS is strongly supportive of telehealth and encourages Congress to act to maintain the Medicare statutory flexibilities post CY2024,” Zebley said. “I believe this will encourage Congress to extend the statutory flexibilities to ensure beneficiaries do not lose...