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HHS Legal and Regulatory Research

On May 4, the Massachusetts House of Representatives released its first draft of the Health Care Quality Improvement and Cost Reduction Act of 2012 (H. 04070), a long-awaited bill to reform the Commonwealth's health care financing system. [More]

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ACOs | Health Homes | Health Information Technology | Payment Reform | State Health Care Reform

The Colorado Department of Health Care Policy and Financing (HCPF) announced on April 5 that telehealth services may be covered in the home for Colorado Medicaid recipients with congestive heart failure, chronic obstructive pulmonary disease, asthma, and diabetes who require on-going and frequent monitoring of their vital signs. [More]

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Health Information Technology | State Health Care Reform

The Centers for Medicare and Medicaid Services (CMS) issued the Medicaid Information Technology Architecture (MITA) Framework, Version 3.0, on March 28. CMS also released, on March 21, updated standards for the adoption of operating rules for eligibility determinations under health plans and health care claims transactions. [More]

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ARRA | CHIP | CMS Regulations | Federal Health Care Reform | Health Information Technology | HIPAA | MITA

The Centers for Medicare and Medicaid Services (CMS) released proposed rules on February 23 specifying "stage 2" criteria that eligible professionals, general hospitals, and critical access hospitals must meet by 2014 to continue to qualify for Medicare and Medicaid payment incentives for the adoption and meaningful use of electronic health record (EHR) systems under the American Recovery and Reinvestment Act of 2009 (ARRA). [More]

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ARRA | CMS Regulations | Health Information Technology

The Brookings Institution released a report on February 8 on the implementation of health information exchanges in Indiana, Massachusetts, New York, Tennessee, and California. [More]

The U.S. Department of Health and Human Services and the U.S. Department of Agriculture released additional guidance to all state health and human service agencies on January 23 on cost allocation plans and advance planning documents on eligibility systems serving multiple state health and human services programs. [More]

CMS issued final rules on October 20 on accountable care organizations (ACOs), the centerpiece of the Medicare "shared savings" program to be launched next year under section 3022 of the Affordable Care Act (ACA). CMS estimates that as many as 270 ACOs could be formed over the next three years... [More]

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CMS Regulations | Federal Health Care Reform | Health Information Technology | Payment Reform | ACOs

The HHS OIG released its FY 2012 audit work plan on October 5. New audit priorities under the Medicaid program include reasonableness of payment rates for state-operated facilities, supplemental payments to public providers, provider taxes, overpayment reporting and collection, completeness and accuracy of managed care organizations' encounter data, and states' implementation of quality of care safeguards under home and community-based services waivers. [More]

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