CMS said it is poised to claw back $1 billion from Medicare Advantage organizations by 2020 through widespread audits, according to a proposed rule. 1. The rule, set to hit the federal register Nov. 1 ...

CMS will pay for certain angioplasty and stenting procedures in ASCs beginning Jan. 1, under its 2020 Medicare Hospital Outpatient Prospective Payment System and ASC Payment System Final Rule. 1. ASCs ...

This article examines how CMS’ adjustment for social risk factors affects the Medicare Advantage Star Ratings and the type of contracts affected by the adjustment. Objectives: CMS implemented the ...

Considering switching to a Medicare Advantage plan during 2020 open enrollment? You’re in luck. Many of these plans, which are administered by private insurers, come with new benefits, ranging from in ...

CMS said Aug. 4 that it will allow health insurers to temporarily lower premiums for members in the individual and small group markets to help Americans who are facing financial hardship amid the ...

Therefore, the NRAA respectfully urges CMS to suspend prospective application of QIP payment penalties based on the 2020 performance year. Simply put, dialysis providers have directed all attention to ...

WASHINGTON, July 20-- Ivan Dimov, co-founder and CEO of Orca Biosystems Inc., Menlo Park, California, has issued a public comment on the Centers for Medicare and Medicaid Services' proposed rule ...

Medicare Advantage (MA) plans are increasingly enrolling veterans. Because MA plans receive full capitated payments regardless of whether or not veterans use Medicare services, the federal government ...

It’s open enrollment season for Medicare. That means you can enroll for the first time, switch to a Medicare Advantage Plan from Medicare, or choose a different Medicare Part D prescription plan ...