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HHS Legal and Regulatory Research

The Centers for Medicare and Medicaid Services has awarded design contracts to fifteen states seeking to participate in pilot programs to test new payment and service delivery models for Medicare/Medicaid "dual eligibles." [More]

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Care Coordination | Demonstration Projects | Dual Eligibles | Federal Health Care Reform

The Centers for Medicare and Medicaid Services published a proposed rule in the Federal Register on May 11 concerning increases in Medicaid payment rates for primary care in calendar years 2013 and 2014 that are mandatory under section 1202 of the Affordable Care Act (ACA). [More]

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CMS Regulations | Federal Health Care Reform

The U.S. Department of Health and Human Services (HHS) announced on May 8 the first 26 awards under a $1 billion competitive grant program administered by the Center for Medicare and Medicaid Innovation (CMMI) under section 3021 of the Affordable Care Act (ACA). [More]

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Demonstration Projects | Federal Health Care Reform

The Centers for Medicare and Medicaid Services (CMS) released on April 26 a draft of final rules to implement the Community First Choice Option enacted under section 2401 of the Affordable Care Act (ACA). [More]

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CMS Regulations | Federal Health Care Reform | Consumer directed care

The Centers for Medicare and Medicaid Services (CMS) announced on April 26 that it has approved 16 applications in the first round of competition under the Independence at Home (IAH) demonstration program under section 3024 of the Affordable Care Act (ACA), [More]

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Demonstration Projects | Federal Health Care Reform | Independence at Home

The Centers for Medicare and Medicaid Services (CMS) announced on April 11 that it has accepted applications from state Medicaid agencies, other public payers, and private health insurance plans to participate in the Multi-Payer Comprehensive Primary Care (CPC) demonstration project authorized under section 3021 of the Affordable Care Act (ACA). [More]

The U.S. Department of Health and Human Services (HHS) proposed rules on April 17 that would require nationwide use of standardized health plan identifier codes by all health plans, helping providers to improve the efficiency of automated billing operations and coordination of benefits. [More]

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CMS Regulations | Federal Health Care Reform | HIPAA

The Centers for Medicare and Medicaid Services (CMS) announced on April 10 that it has approved 27 accountable care organizations (ACOs) to participate in the Medicare Shared Savings Program authorized under section 3022 of the Affordable Care Act (ACA). [More]

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Federal Health Care Reform | Payment Reform | ACOs


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