Connected Health Pulse

CMS seeks input on improving transparency in Medicare Advantage

FierceHealthIT

JANUARY 25, 2024

The Centers for Medicare & Medicaid Services is seeking feedback on how to increase transparency around Medicare Advantage and improve data capabilities. |

Medicare

CMS rule to increase Medicare Savings Program enrollment

FierceHealthIT

SEPTEMBER 19, 2023

The Centers for Medicare & Medicaid Services (CMS) finalized a rule Monday to streamline enrollment in Medicare Savings Programs (MSPs) with the aim of making coverage affordable for 860,000 mo | A $26.16 billion CMS rule will streamline Medicare Savings Program enrollment, reducing administrative burden in the process.

Medicare

CMS: Most Medicare Advantage beneficiares won't see premiums rise in 2024

FierceHealthIT

SEPTEMBER 26, 2023

Expect premiums, benefits and plan choices for Medicare Advantage (MA) and the Medicare Part D prescription drug program to look similar in 2024, the Centers for Medicare & Medicaid Services (C | CMS announced that nearly three-quarters of MA plan beneficiaries will not see their premiums rise.

Medicare

CMS suggests expanding Medicare treatment coverage for myelodysplastic syndromes

FierceHealthIT

DECEMBER 7, 2023

Centers for Medicare & Medicaid Services is considering expanding the national coverage determination for allogeneic hematopoietic stem cell transplants using bone marrow or peri | A new request from CMS would give full coverage of stem cell treatments to Medicare patients with myelodysplastic syndromes, a deadly condition that can progress to (..)

Medicare

CMS finalizes changes to Medicare Advantage star ratings, prior authorization reforms

FierceHealthIT

APRIL 5, 2023

CMS finalizes changes to Medicare Advantage star ratings, prior authorization reforms rking Wed, 04/05/2023 - 16:14

Medicare

CMS data: Medicare Advantage tops 30M

FierceHealthIT

JANUARY 17, 2023

CMS data: Medicare Advantage tops 30M. Tue, 01/17/2023 - 14:45.

Medicare

Telehealth Update on Centers for Medicare & Medicaid Services (CMS) Rules

Iris Telehealth

NOVEMBER 21, 2022

Thankfully, organizations like the Centers for Medicare and Medicaid Services (CMS) continue to drive new initiatives to mitigate this barrier and help more people get the care they need. In November 2022, CMS finalized new rules to expand access to behavioral health. Overview of new CMS rules.

Medicare

Medicare Telehealth Mental health Primary Care

CMS to raise Medicare Advantage pay rates by 3.3% in 2024; phase in risk adjustment changes

FierceHealthIT

MARCH 31, 2023

CMS to raise Medicare Advantage pay rates by 3.3% in 2024; phase in risk adjustment changes rking Fri, 03/31/2023 - 16:02

Medicare

Providers, payers press CMS to get rid of Medicare Advantage risk adjustment changes entirely

FierceHealthIT

APRIL 4, 2023

Providers, payers press CMS to get rid of Medicare Advantage risk adjustment changes entirely rking Tue, 04/04/2023 - 15:08

Medicare

Nursing homes will get a 4% Medicare pay bump next year under CMS final rule

FierceHealthIT

JULY 31, 2023

In what the Centers for Medicare and Medicaid Services (CMS) today described as a “parity adjustment recalibration,” the agency said it will

Medicare

Medicare Nursing

CMS proposes new Medicare Advantage and Part D reforms on prior authorization, marketing

FierceHealthIT

DECEMBER 14, 2022

CMS proposes new Medicare Advantage and Part D reforms on prior authorization, marketing. Wed, 12/14/2022 - 17:09.

Medicare

Senators urge CMS to rethink narrow Medicare coverage for Alzheimer's drugs

FierceHealthIT

FEBRUARY 21, 2023

Senators urge CMS to rethink narrow Medicare coverage for Alzheimer's drugs pminemyer Tue, 02/21/2023 - 16:17

Medicare

CMS, insurers clash over whether Medicare Advantage is going to be cut in proposed rule

FierceHealthIT

FEBRUARY 13, 2023

CMS, insurers clash over whether Medicare Advantage is going to be cut in proposed rule rking Mon, 02/13/2023 - 14:25

Medicare

CMS proposes small hike to Medicare Advantage, Part D plan payments in 2024 amid risk adjustment changes

FierceHealthIT

FEBRUARY 1, 2023

CMS proposes small hike to Medicare Advantage, Part D plan payments in 2024 amid risk adjustment changes rking Wed, 02/01/2023 - 17:35

Medicare

Providers in Direct Contracting Model saved Medicare $70M in 2021, CMS reports

FierceHealthIT

NOVEMBER 28, 2022

Providers in Direct Contracting Model saved Medicare $70M in 2021, CMS reports. Mon, 11/28/2022 - 19:20.

Medicare

Improper Medicare payments down $20.7B since 2014, CMS data show

FierceHealthIT

NOVEMBER 16, 2021

Improper Medicare payments down $20.7B since 2014, CMS data show. Tue, 11/16/2021 - 07:15.

Medicare

CMS proposes pulling requirement for hospitals to post private Medicare Advantage rates

FierceHealthIT

APRIL 27, 2021

CMS proposes pulling requirement for hospitals to post private Medicare Advantage rates. Tue, 04/27/2021 - 22:49.

Medicare

CMS data: Medicare Advantage enrollment now more than 31M

FierceHealthIT

FEBRUARY 21, 2023

CMS data: Medicare Advantage enrollment now more than 31M pminemyer Tue, 02/21/2023 - 14:21

Medicare

Senate Dems press CMS for more consumer protections in Medicare Advantage

FierceHealthIT

NOVEMBER 15, 2022

Senate Dems press CMS for more consumer protections in Medicare Advantage. Tue, 11/15/2022 - 16:52.

Medicare

OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices

FierceHealthIT

JANUARY 3, 2023

OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices. Tue, 01/03/2023 - 16:52.

Medicare

CMS expands list of telehealth services that can get Medicare reimbursement

FierceHealthIT

OCTOBER 14, 2020

CMS expands list of telehealth services that can get Medicare reimbursement. Wed, 10/14/2020 - 16:42.

Medicare

Medicare Telehealth

CMS: Medicare Advantage plans with 4 or more stars skyrocket in 2022 compared to 2021

FierceHealthIT

OCTOBER 8, 2021

CMS: Medicare Advantage plans with 4 or more stars skyrocket in 2022 compared to 2021. Fri, 10/08/2021 - 12:12.

Medicare

CMS: Upcoming Medicare payment rule to include proposals to expand telehealth

FierceHealthIT

JUNE 25, 2020

CMS: Upcoming Medicare payment rule to include proposals to expand telehealth. Thu, 06/25/2020 - 17:43.

Medicare

Medicare Telehealth

CMS: Healthcare workers must receive their first COVID vaccine by Dec. 5 to continue Medicare, Medicaid participation

FierceHealthIT

NOVEMBER 4, 2021

CMS: Healthcare workers must receive their first COVID vaccine by Dec. 5 to continue Medicare, Medicaid participation. Thu, 11/04/2021 - 09:51.

Medicare

CMS to pause Medicare payments until Congress passes sequester fix next month

FierceHealthIT

MARCH 31, 2021

CMS to pause Medicare payments until Congress passes sequester fix next month. Wed, 03/31/2021 - 10:27.

Medicare

CMS finalizes plan to allow Medicare Advantage plans to expand telehealth benefits

FierceHealthIT

MAY 22, 2020

CMS finalizes plan to allow Medicare Advantage plans to expand telehealth benefits. Fri, 05/22/2020 - 09:20.

Medicare

Medicare Telehealth

Insurers applaud CMS' proposal for Medicare to only cover Aduhelm for seniors in clinical trials

FierceHealthIT

JANUARY 12, 2022

Insurers applaud CMS' proposal for Medicare to only cover Aduhelm for seniors in clinical trials. Wed, 01/12/2022 - 17:20.

Medicare

CMS boosts Medicare payments for providers for administering at-home COVID-19 vaccinations

FierceHealthIT

JUNE 9, 2021

CMS boosts Medicare payments for providers for administering at-home COVID-19 vaccinations. Wed, 06/09/2021 - 10:12.

Medicare

CMS: Telehealth Benefits In Medicare Are A Lifeline for Patients During Coronavirus Outbreak

Electronic Health Reporter

MARCH 10, 2020

The Centers for Medicare & Medicaid Services (CMS) issued a fact sheet with additional guidance for healthcare providers and patients about the telehealth benefits in the agency’s Medicare program. Illegal copying is prohibited. The fact sheet is part of […].

Medicare

Medicare Telehealth

CMS: Estimated improper Medicare payments down $16B since 2016

FierceHealthIT

NOVEMBER 17, 2020

CMS: Estimated improper Medicare payments down $16B since 2016. Tue, 11/17/2020 - 11:07.

Medicare

CMS: Medicare Advantage, Part D plans to see 4% pay bump in 2022

FierceHealthIT

JANUARY 18, 2021

CMS: Medicare Advantage, Part D plans to see 4% pay bump in 2022. Mon, 01/18/2021 - 19:16.

Medicare

CMS final rule on broker comp, health equity could shake up Medicare Advantage

FierceHealthIT

APRIL 5, 2024

Centers for Medicare & Medicaid Services finalized a host of actions ranging from broker compensation, health equity, mental health, supplemental benefits and biosimiliars, in the Contract Year | Medicare Advantage plans will need to adjust to new star ratings requirements, industry watchers warned following a final rule on Thursday.

Medicare

Medicare Mental health

CMS puts focus on health equity in Medicare Advantage, Part D Advance Notice

FierceHealthIT

FEBRUARY 2, 2022

CMS puts focus on health equity in Medicare Advantage, Part D Advance Notice. Wed, 02/02/2022 - 16:58.

Medicare

CMS to require positive test result for providers to get Medicare payment for COVID-19 patients

FierceHealthIT

AUGUST 18, 2020

CMS to require positive test result for providers to get Medicare payment for COVID-19 patients. Tue, 08/18/2020 - 10:46.

Medicare

CMS rule aims to reduce lag time between FDA approval and Medicare coverage of new devices

FierceHealthIT

AUGUST 31, 2020

CMS rule aims to reduce lag time between FDA approval and Medicare coverage of new devices. Mon, 08/31/2020 - 12:09.

Medicare

Insurers offer initial praise of CMS' Medicare Advantage, Part D notice

FierceHealthIT

FEBRUARY 3, 2022

Insurers offer initial praise of CMS' Medicare Advantage, Part D notice. Thu, 02/03/2022 - 14:28.

Medicare

CMS: ACOs save Medicare $1.2B under 'Pathways to Success' program

FierceHealthIT

SEPTEMBER 14, 2020

CMS: ACOs save Medicare $1.2B under 'Pathways to Success' program. Mon, 09/14/2020 - 16:49.

Medicare

CMS alerts providers to changes to Medicare advance loan repayments, giving hospitals more time

FierceHealthIT

OCTOBER 8, 2020

CMS alerts providers to changes to Medicare advance loan repayments, giving hospitals more time. Thu, 10/08/2020 - 17:07.

Medicare

Permanent Expansion of Medicare Telehealth Reimbursement Announced by CMS

Telebehavioral Health Institute

DECEMBER 1, 2020

On December 1, the Centers for Medicare and Medicaid Services (CMS) released the annual Physician Fee Schedule (PFS) final rule for 2021. Key sections of the CMS announcement of relevance to the telebehavioral health community are introduced and posted verbatim … Read more.

Medicare

Medicare Telehealth Telemedicine

OIG: CMS overpaid Anthem by nearly $3.5M in Medicare Advantage

FierceHealthIT

MAY 25, 2021

OIG: CMS overpaid Anthem by nearly $3.5M in Medicare Advantage. Tue, 05/25/2021 - 10:53.

Medicare

CMS planning to fully rely on encounter data for Medicare Advantage risk adjustment in 2022

FierceHealthIT

SEPTEMBER 14, 2020

CMS planning to fully rely on encounter data for Medicare Advantage risk adjustment in 2022. Mon, 09/14/2020 - 18:08.

Medicare

CMS finalizes rule aimed at cutting lag time of Medicare coverage for breakthrough devices

FierceHealthIT

JANUARY 12, 2021

CMS finalizes rule aimed at cutting lag time of Medicare coverage for breakthrough devices. Tue, 01/12/2021 - 17:25.

Medicare

Medicare Advantage rate cut remains as feds keep up pressure

FierceHealthIT

APRIL 1, 2024

Insurers will feel resentful Monday as the feds opted to not reverse its decision to decrease Medicare Advantage benchmark payments by 0.16%, the Centers for Medicare and Medicaid announced. | CMS is not deviating from its January proposal to modestly rein in Medicare Advantage.

Medicare

OIG: CMS must press Congress to overhaul Medicare's hospital wage index to prevent fraud

FierceHealthIT

AUGUST 11, 2020

OIG: CMS must press Congress to overhaul Medicare's hospital wage index to prevent fraud. Tue, 08/11/2020 - 15:55.

Medicare

CMS seeks input on improving transparency in Medicare Advantage

CMS rule to increase Medicare Savings Program enrollment

Trending Sources

CMS: Most Medicare Advantage beneficiares won't see premiums rise in 2024

CMS suggests expanding Medicare treatment coverage for myelodysplastic syndromes

CMS finalizes changes to Medicare Advantage star ratings, prior authorization reforms

CMS data: Medicare Advantage tops 30M

Telehealth Update on Centers for Medicare & Medicaid Services (CMS) Rules

CMS to raise Medicare Advantage pay rates by 3.3% in 2024; phase in risk adjustment changes

Providers, payers press CMS to get rid of Medicare Advantage risk adjustment changes entirely

Nursing homes will get a 4% Medicare pay bump next year under CMS final rule

CMS proposes new Medicare Advantage and Part D reforms on prior authorization, marketing

Senators urge CMS to rethink narrow Medicare coverage for Alzheimer's drugs

CMS, insurers clash over whether Medicare Advantage is going to be cut in proposed rule

CMS proposes small hike to Medicare Advantage, Part D plan payments in 2024 amid risk adjustment changes

Providers in Direct Contracting Model saved Medicare $70M in 2021, CMS reports

Improper Medicare payments down $20.7B since 2014, CMS data show

CMS proposes pulling requirement for hospitals to post private Medicare Advantage rates

CMS data: Medicare Advantage enrollment now more than 31M

Senate Dems press CMS for more consumer protections in Medicare Advantage

OIG: CMS needs to help drugmakers in calculating best Medicare Part B prices

CMS expands list of telehealth services that can get Medicare reimbursement

CMS: Medicare Advantage plans with 4 or more stars skyrocket in 2022 compared to 2021

CMS: Upcoming Medicare payment rule to include proposals to expand telehealth

CMS: Healthcare workers must receive their first COVID vaccine by Dec. 5 to continue Medicare, Medicaid participation

CMS to pause Medicare payments until Congress passes sequester fix next month

CMS finalizes plan to allow Medicare Advantage plans to expand telehealth benefits

Insurers applaud CMS' proposal for Medicare to only cover Aduhelm for seniors in clinical trials

CMS boosts Medicare payments for providers for administering at-home COVID-19 vaccinations

CMS: Telehealth Benefits In Medicare Are A Lifeline for Patients During Coronavirus Outbreak

CMS: Estimated improper Medicare payments down $16B since 2016

CMS: Medicare Advantage, Part D plans to see 4% pay bump in 2022

CMS final rule on broker comp, health equity could shake up Medicare Advantage

CMS puts focus on health equity in Medicare Advantage, Part D Advance Notice

CMS to require positive test result for providers to get Medicare payment for COVID-19 patients

CMS rule aims to reduce lag time between FDA approval and Medicare coverage of new devices

Insurers offer initial praise of CMS' Medicare Advantage, Part D notice

CMS: ACOs save Medicare $1.2B under 'Pathways to Success' program

CMS alerts providers to changes to Medicare advance loan repayments, giving hospitals more time

Permanent Expansion of Medicare Telehealth Reimbursement Announced by CMS

OIG: CMS overpaid Anthem by nearly $3.5M in Medicare Advantage

CMS planning to fully rely on encounter data for Medicare Advantage risk adjustment in 2022

CMS finalizes rule aimed at cutting lag time of Medicare coverage for breakthrough devices

Medicare Advantage rate cut remains as feds keep up pressure

OIG: CMS must press Congress to overhaul Medicare's hospital wage index to prevent fraud

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