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Profitability concerns lead Clover Health Investments to exit Centers for Medicare and Medicaid Services program
Due to profitability concerns, Clover Health Investments is exiting ACO REACH, a program with Centers for Medicare and Medicaid Services. The program is aimed at improving the quality of care for people with traditional Medicare and meeting the needs of those in underserved communities. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - December 1, 2023 Category: Pharmaceuticals Authors: Nikki Ross Source Type: news

CMS: Medicare Program; Medicare Secondary Payer and Certain Civil Money Penalties; Correction
Notice from the Centers for Medicare and Medicaid Services making technical and typographical corrections to theOctober 11, 2023, final rule with the same title. The corrections are effective December 11, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 27, 2023 Category: Rural Health Source Type: news

Biden ’s Race Against a Cure
The Food and Drug Administration may soon approve two gene therapies with the potential to cure more than 100,000 Americans with debilitating sickle-cell disease. Now the bad news: The Centers for Medicare and Medicaid Services (CMS) may soon limit access to such breakthrough treatments. Gene…#centersformedicare #medicaidservices #cms #fda (Source: Reuters: Health)
Source: Reuters: Health - November 14, 2023 Category: Consumer Health News Source Type: news

CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Provider and Supplier Disclosure of Ownership; and Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; Correction
Notice from the Centers for Medicare and Medicaid Services making technical corrections to theAugust 28, 2023 final rule with the same title. The corrections are applicable for discharges beginning October 1, 2023. This notice is effective November 9, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 9, 2023 Category: Rural Health Source Type: news

BioStem Technologies Awarded Q Code for VENDAJE AC ® Line from Centers for Medicare and Medicaid Services
POMPANO BEACH, Fla., Nov. 08, 2023 (GLOBE NEWSWIRE) -- . BSEM, a leading regenerative medicine company focused on the development, manufacture and commercialization of placental-derived biologics for advanced wound care, today announced that the Centers for Medicare and Medicaid Services (CMS) has…#pompanobeach #fla #bsem #centersformedicare #medicaidservices #cms #vendajeac #healthcare #biostem #hcpcslevelii (Source: Reuters: Health)
Source: Reuters: Health - November 8, 2023 Category: Consumer Health News Source Type: news

CMS: Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee Amount for Calendar Year 2024
Notice from the Centers for Medicare and Medicaid Services announcing the application fee for providers initially enrolling in the Medicare or Medicaid programs, or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. The new fee is $709 and is required for applications submitted January 1, 2024, through December 31, 2024. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 7, 2023 Category: Rural Health Source Type: news

CMS: Privacy Act of 1974; Matching Program
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comments on the re-establishment of a matching program between CMS and the U.S. Department of Defense, Defense Manpower Data Center titled "Verification of Eligibility for Minimum Essential Coverage Under the Patient Protection and Affordable Care Act through a Department of Defense Health Benefits Plan." The purpose of the matching program is to provide CMS with DOD data to verify individuals' eligibility for coverage under a DoD Health Benefit Plan, insurance affordability and financial assistance programs, and coverage under TRICARE. Comments are d...
Source: Federal Register updates via the Rural Assistance Center - November 1, 2023 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July Through September 2023
Quarterly listing of Centers for Medicare and Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from July through September 2023, including contact information for general questions or additional information about specific sections. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - October 26, 2023 Category: Rural Health Source Type: news

How Medicaid unwinding could impact radiology practices
Sandy Coffta.During the COVID-19 Public Health Emergency, states were required to maintain enrollment of nearly all Medicaid enrollees as a condition of receiving a temporary 6.2 percentage point Federal Medical Assistance Percentage (FMAP) increase under the Families First Coronavirus Response Act (FFCRA). There was significant growth of national Medicaid enrollment figures due to this continuous Medicaid enrollment requirement, coupled with additional incentives for states to implement Medicaid expansion. The Kaiser Family Foundation estimates that the combination of Medicaid and CHIP (Children’s Health Insurance Progr...
Source: AuntMinnie.com Headlines - October 19, 2023 Category: Radiology Authors: Sandy Coffta Tags: Practice Management Administration Source Type: news

CMS: Medicare Program; Public Meeting for New Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding-November 28-30, 2023
The Centers for Medicare and Medicaid Services (CMS) will hold a virtual public meeting on November 28-30, 2023, to discuss the preliminary coding, Medicare benefit category, and payment determinations for new revisions to the Healthcare Common Procedure Coding System (HCPCS) Level II code set. The agenda and information on how to join the meeting will be posted on theCMS website. Pre-registration is required for members of the public who wish to present comments during the meeting by November 14, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - October 18, 2023 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Survey of Retail Prices; and 2) Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols. Comments are due by November 15, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - October 16, 2023 Category: Rural Health Source Type: news

CMS lifts limit on amyloid PET coverage
The U.S. Centers for Medicare and Medicaid Services (CMS) announced on October 13 that it has lifted its coverage limit of one beta-amyloid PET scan per lifetime for patients with Alzheimer’s disease.The decision, which removes the previous national coverage determination and ends coverage with evidence development for beta-amyloid PET, comes in the wake of recent U.S. Food and Drug Administration (FDA) approvals of the first drugs to treat the disease – monoclonal antibodies that target brain amyloid plaque deposits. Medicare coverage decisions for amyloid PET scans will now be made by local Medicare Administrative ...
Source: AuntMinnie.com Headlines - October 13, 2023 Category: Radiology Authors: Will Morton Tags: Molecular Imaging Source Type: news

Standard Medicare Monthly Premium Rises $10 to $174.70 - Barrons
The standard Medicare Part B premium will rise by nearly $10 a month next year to $174.70, the Centers for Medicare and Medicaid Services announced on Thursday.#medicare #centersformedicare #medicaidservices (Source: Reuters: Health)
Source: Reuters: Health - October 13, 2023 Category: Consumer Health News Source Type: news

ACR expert weighs in on new CMS guidelines for No Surprises Act
Medical societies including the American College of Radiology (ACR) recently published a letter criticizing new federal guidelines related to the No Surprises Act. The Centers for Medicare and Medicaid Services on October 6 issued the new guidance in response to an August ruling that vacated several provisions of the existing No Surprises Act regulations. The letter criticizes the guidelines’ points on calculating qualifying payment amounts, informal dispute resolutions, and batched determinations through the federal independent dispute resolution portal. Kathryn Keysor, Senior Director of Economic Policy at the ACR, d...
Source: AuntMinnie.com Headlines - October 13, 2023 Category: Radiology Authors: Amerigo Allegretto Tags: Practice Management Administration Economics Source Type: news

ACR, others chide CMS for new guidelines related to No Surprises Act
The American College of Radiology (ACR), the Radiology Business Management Association (RMBA), and other medical societies have issued a joint statement criticizing new federal guidance related to the No Surprises Act.The Centers for Medicare and Medicaid Services (CMS) on October 6 issued the new guidance in response to an August ruling that vacated several provisions of the existing No Surprises Act regulations. This was in the case of the Texas Medical Association v. United States Department of Health and Human Services (TMA III).In the announcement, the departments state that no additional guidance is expected to be pr...
Source: AuntMinnie.com Headlines - October 10, 2023 Category: Radiology Authors: Amerigo Allegretto Tags: Practice Management Administration Source Type: news