Author: Tom Entrikin | Posted: 3. April 2013 12:58
The Centers for Medicare and Medicaid Services (CMS) issued final rules on April 2, 2013 on calculating Medicaid expenditures that will qualify for enhanced Federal medical assistance percentages (FMAP) under section 2001 of the Affordable Care Act. [More]
Author: Tom Entrikin | Posted: 13. March 2013 02:21
The National Commission on Physician Payment Reform released a report on March 4, 2013 which concludes that health care spending cannot be controlled effectively without fundamental changes in how physicians are reimbursed under public and private health plans. [More]
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Categories:Payment Reform
Author: Tom Entrikin | Posted: 27. February 2013 05:55
The Center for Medicare and Medicaid Innovation (CMMI) announced on February 21, 2013 that it has approved $254 million in "model testing" awards to six States, $31 million in "model design" awards to 16 States, and $4 million in "model pre-testing" awards to four States. [More]
Author: Tom Entrikin | Posted: 21. February 2013 12:05
The U.S. Department of Health and Human Services released draft final rules on February 20, 2013 on the ten categories of "essential health benefits" that qualified health plans (QHPs) must cover to be certified by health insurance Exchanges for 2014. [More]
Author: Tom Entrikin | Posted: 14. February 2013 09:22
The Centers for Medicare and Medicaid Services (CMS) announced on January 31, 2013 over 500 provider organizations that will be participating in its nationwide Bundled Payments for Care Improvement Initiative. [More]
Author: Tom Entrikin | Posted: 8. February 2013 08:54
Proposed rules issued by the U.S. Department of Health and Human Services on February 1, 2013 provide new guidance on the required functionality of health insurance Exchanges in determining whether individuals may qualify for exemptions to the "individual mandate" under the Affordable Care Act. [More]
Author: Tom Entrikin | Posted: 18. January 2013 07:17
The U.S. Department of Health and Human Services (HHS) released draft proposed rules on January 14, 2013 on eligibility, notification, and appeals procedures for individuals seeking coverage through Medicaid, the Children's Health Insurance Program, and health insurance Exchanges. [More]
Author: Tom Entrikin | Posted: 8. January 2013 11:45
The U.S. Department of the Treasury published proposed rules on January 2, 2013 to implement section 1513 of the Affordable Care Act (ACA), the "employer shared responsibility" provision which imposes two types of tax assessment penalties on some large employers. [More]