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CMS Updates Nursing Home Compare Site with Care Quality Data

March 6, 2019 - CMS has announced updates to the Nursing Home Compare website to provide patients and family members with better data for healthcare decision-making. The changes, which will go into effect in April, aim to provide more complete and accurate care quality data for relevant stakeholders. “CMS is committed to safeguarding the health and safety of nursing home residents by ensuring...


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CMS eMedicare Technologies to Drive Patient Navigation for Seniors

by Sara Heath

The patient navigation technologies offered in the CMS eMedicare initiative will be helpful for seniors, despite some industry concern, said CMS Administrator Seema Verma in a recent blog post. The post outlined the new tools offered in...

Why Medicare Star Ratings Must Account for Socioeconomic Status

by Sara Heath

Providing care quality transparency has been central to the medical industry’s efforts to supporting better patient care access and experience. To that end, CMS is host to Star Ratings programs, which allow patients to learn more...

CMS Proposes Updates to Hospital Compare, Star Ratings Methodology

by Sara Heath

CMS has proposed updates to the Hospital Star Ratings formulary, according to an agency statement. These changes come in response to public criticism stating that the Hospital Star Ratings are not always accurate portrayals of hospital...

Emergency Medical Transportation APM to Drive Patient Care Access

by Sara Heath

The Department of Health & Human Services, alongside the Centers for Medicare and Medicaid Innovation (CMMI) have launched the Emergency Triage, Treat, and Transport (ET3) program. The advanced payment model (APM) will help drive...

CMS Proposal Targets Information Blocking, Patient Data Access

by Sara Heath

Today the Centers for Medicare & Medicaid Services (CMS) announced the Interoperability and Patient Access Proposed Rule, which seeks to enable easier patient data access and health information exchange. This announcement comes ahead...

How Can CMS Address Senior Poverty, Patient Healthcare Costs?

by Sara Heath

Cutting patient healthcare costs will be a key step toward addressing senior poverty, which is ultimately a high priority for the Centers for Medicare & Medicaid Services (CMS), the agency said in a blog post. Late last month, the...

CMS App to Drive Beneficiary Education About Plan Coverage

by Sara Heath

CMS has launched a new patient-facing app geared toward improving beneficiary education about basic Medicare plans. The “What’s Covered” app will be available to patients with Original Medicare and comes as a part of the...

CMS Models Target Patient-Centered Benefits Design, Drug Costs

by Sara Heath

CMS has revealed two new regulations that will ideally improve patient-centered benefits design and lower prescription drug spending, the agency said. Specifically, the agency announced a new Value-Based Insurance Design (VBID) model and...

Verma: Price Transparency Rule Critical First Step for CMS

by Sara Heath

Healthcare organizations may only need to post chargemaster lists online for now, but that doesn’t mean they can’t create their own initiatives to improve price transparency, said CMS Administrator Seema Verma in a press call...

Patient-Centered Care Coordination Key for MA Telehealth Plans

by Sara Heath

Although telehealth shows promise for driving more convenient patient care access, supporting that technology with effective care coordination and continuity will be essential to a quality patient experience, according to a recent comments...

Price Transparency Rules Take Effect, Slated to Empower Patients

by Sara Heath

As of January 1, 2019, hospitals across the country are responsible for full price transparency, a move that will allow patients to make informed decisions about care access. The mandates come as a part of the 2019 inpatient prospective...

Part D Drug Price Proposal Could Limit Patient Access to Care

by Sara Heath

Utilization management strategies such as formulary tiers and copayments serve as significant barriers to Medicare Part D drugs for many patients managing serious illness, according to a new report conducted by Avalere Health on behalf of...

CMS Drug Price Proposal Aims to Cut Out-of-Pocket Patient Spending

by Sara Heath

CMS has proposed a new drug price model for Medicare Parts C and D that will ideally reduce out-of-pocket patient spending. The policies, which if approved would go into effect in 2020, would impact Medicare Advantage and Medicare Parts C...

CMS Program to Support Patient Safety in Nursing Home Care

by Sara Heath

CMS is ramping up its efforts to improve patient safety and care quality in nursing home settings. Through the Civil Money Penalty Reinvestment Program (CMPRP), the agency aims to give nursing home employees and caregivers the tools...

CMS: Work Continues to Address Rural Patient Care Access Issues

by Sara Heath

The Centers for Medicare & Medicaid Services (CMS) is working to address patient care access and other issues faced by individuals residing in rural areas, according to a recent blog post from agency administrator Seema Verma. The...

AHA: OPPS Site-Neutral Payments to Hinder Patient Access to Care

by Sara Heath

The American Hospital Association did not mince words when commenting on the site-neutral payment provisions included in the Hospital Outpatient Prospective Payment System (OPPS). Implementing site-neutral payment is set to harm hospitals...

CMS Updates Aim to Improve Patient-Centered Care, Care Access

by Sara Heath

The Centers for Medicare & Medicaid Services has issued a slew of final rules aimed at reducing administrative simplification and improving patient-centered care. Late last week, CMS finalized its 2019 Physician Fee Schedule (PFS),...

Medicare Advantage Propose to Expand Patient Access to Telehealth

by Sara Heath

CMS has announced plans to modernize Medicare Advantage and Part D plans. Updates will expand patient access to care by adding telehealth as a covered benefit. The agency says it will update the way it reimburses providers to make it...

CMS Model to Push Care Access for Maternal Opioid Use Disorder

by Sara Heath

CMS is launching a new Medicaid care model that will improve care coordination, behavioral health integration, and access to care for expectant and new mothers with opioid use disorder (OUD). The Maternal Opioid Misuse (MOM) model aims to...

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