"The numbers are showing this is working," stated Mark McClellan, administrator of the federal Centers for Medicare and Medicaid Services (CMS). With Medicare's Part D prescription drug benefit, he said, "People are getting the kind of coverage they want and it's costing much less, much ...
“This is especially important given that the maximum penalty for non-compliance with a condition of participation is a hospital or health system’s termination from the Medicare and Medicaid programs. This is severe enough to endanger most hospitals’ financial viability, and th...
In 2005, the Centers for Medicare & Medicaid Services (CMS), as required by law, began paying for physician-administered Part B drugs using information on the drugs' average sales price (ASP). Subsequently, CMS selected ASP as the basis to pay for a subset of Part B drugs provided at ho...
Further, the report highlighted the concerns of the OIG and the Centers for Medicare and Medicaid Services (CMS) regarding attempts to sign Medicare enrollees up for RPM services regardless of their need. The agencies stated that some companies make unsolicited contact with enrollees, eith...
Now that you know about how physicians feel about new technology and patients feel about data breaches, you must be thinking, why adopt an EHR solution at all? The short answer is that you have to in order to beeligible for Medicaid and Medicare reimbursements. ...
post share post print email license An Obamacare sign outside of Leading Insurance Agency, which offers Affordable Care Act plans in Miami. Roughly half of Americans say they’re concerned about how the incoming Trump administration could impact their health insurance, according to a new survey.Jo...
reduce "surprise billing" for emergency care when a privately insured person receives it from hospitals or providers outside their health insurance plan's network. At the time of the study, Medicare and Medicaid already prohibited emergency care providers from doing this kind of "balance billing....
A disproportionate number of the ill and injured among those without insurance may still end up at teach- ing hospitals, says Grover. Although the long wait for a ruling on the health-care law is over, uncertainties about the effects of the cuts to Medicare and Medicaid payments have just ...
Among those decedents who appeared in the USRDS registry during follow-up, we used information from the Center for Medicare and Medicaid Services (CMS) Death Notification Form to ascertain whether they had discontinued dialysis before death. Analytic Approach We used proportions and chi-squared tests...
The Centers for Medicare and Medicaid Services had also expressed concern about theradiation doseof colonoscopy, said Dr. Cash. "The average effective radiation dose with CT colonography at the National Naval Medical Center in Bethesda, MD (where the study was conducted) was calculated to be 4.24...