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CMS

CMS: Work Continues to Address Rural Patient Care Access Issues

November 20, 2018 - 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 post, published to recognize National Rural Health Day on November 15, outlined the barriers to health and care that the nearly 60 million people who...


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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...

CMS Releases Quality Star Ratings for Medicare Plan Patient Access

by Sara Heath

CMS has released the quality star ratings for Medicare Advantage and Medicare Part D prescription drug plans, according to a public statement. This move comes ahead of the open enrollment session and as a part of the agency’s efforts...

CMS Revises Medicare Program Manual to Boost Patient Access to Care

by Sara Heath

CMS has made revisions to Medicare’s Program Integrity Manual in an effort to improve patient access to care services and healthcare devices. The revisions will make it easier for Medicare Administrative Contractors (MACs) to...

CMS Updates eMedicare Website to Improve Beneficiary Experience

by Sara Heath

CMS has revamped the eMedicare website, adding new tools to enhance the Medicare beneficiary experience when searching for a health plan. These updates include tools aimed at making it easier for beneficiaries to understand plan details,...

CMS Announces Patient Navigator Funding, Enrollment Changes

by Sara Heath

CMS has announced the recipients of $10 million grant funding for patient navigator programs, considerably slashing the resources states will have to connect patients with comprehensive health insurance. The patient navigator program was...

Experts State 2019 Physician Fee Schedule Harms Patient Care Access

by Sara Heath

More healthcare industry leaders are expressing concerns over provisions included in the 2019 proposed Physician Fee Schedule, specifically stating that statutes to reduce reimbursement for evaluation and management (E/M) services could...

CMS Rule May Reduce Reporting Burden, But Harm Patient Care Access

by Sara Heath

Proposed changes for the 2019 Physician Fee Schedule would effectively put “patients over paperwork,” helping to deliver on a promise from CMS to improve patient-centered care and patient care access, said the American Medical...

CMS Overhauls ACO Programs, Pushes for Beneficiary Engagement

by Sara Heath

The Centers for Medicare & Medicaid Services (CMS) has proposed a major overhaul of its accountable care organization (ACOs) Medicare Shared Savings Program (MSSP) model, aiming to tamp down on spending, drive healthcare transparency,...

CMS Allows Medicare Advantage Plans to Adopt Step Therapy

by Sara Heath

CMS has given new authority to Medicare Advantage plans that allows those plans to negotiate lower drug prices. These new policies will specifically allow Medicare Advantage Plans to practice step therapy, which CMS says will create cost...

MyHealthEData, Patients Over Paperwork Key in CMS Final Rules

by Sara Heath

CMS has issued final rules related to the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System. Finalized changes will support patient-centered care by reinforcing the MyHealthEData...

One in Five Patients Use CMS Star Ratings for Healthcare Decisions

by Sara Heath

Only about one-fifth of Medicare Advantage beneficiaries are familiar with the CMS star ratings that rank payer coverage, according to a recent HealthMine survey. This finding runs counter to the agency’s intentions for the star...

HHS Final Rule Expands Patient Access to Short-Term Health Plans

by Sara Heath

The Department of Health & Human Services (HHS) has issued a final rule expanding short-term health plans that will improve patient access to healthcare coverage, according to the agency. The final rule allows for the sale of...

Hospitals Say OPPS Proposed Rule Will Harm Patient Access to Care

by Sara Heath

Hospital associations across the country are speaking out against the recent CMS proposed Hospital Outpatient Prospective Payment System (OPPS) rule, stating that the rule will hinder patient access to care and increase out-of-pocket...

Verma: CMS Makes Strides in Patient-Centered Care, Medicare Reform

by Sara Heath

CMS is making progressing in its mission to fulfill patient needs and drive patient-centered care through various new Medicare policies, agency Administrator Seema Verma said in a speech at the Commonwealth Club of...

CMS Proposed Rule to Let Patients Access Care at Preferred Sites

by Sara Heath

CMS has proposed changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) to create site-neutral payments, thus allowing senior patients to access the care they need in their preferred care site. Creating site-neutral...

CMS Adds CHIO Position to Support Patient Engagement Tech Push

by Sara Heath

CMS will be adding a chief health informatics officer (CHIO) to its leadership team in an effort to support the agency’s patient engagement and health IT initiatives, according to a blog post from CMS Administrator Seema Verma. This...

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