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Medicare has overpaid MA insurers billions. Now, CMS wants the payments back.

July 22, 2019


CMS is preparing to move forward with a proposal to use audits to recoup millions of dollars in overpayments to Medicare Advantage insurers, after insurers overcharged Medicare by nearly $30 billion over the past three years.

CMS penalties aren't lowering hospital-acquired conditions, study suggests

July 22, 2019


Penalties levied under CMS' Hospital-Acquired Condition (HAC) Reduction Program are not leading to lower rates of HACs at penalized hospitals when compared with non-penalized hospitals, according to a study recently published in The BMJ.

Elon Musk's company wants to read your mind. But does its technology actually work?

July 19, 2019


Tesla and SpaceX CEO Elon Musk in 2016 founded the tech startup Neuralink with the aim of developing a high-bandwidth implantable brain-computer interface to enable people to control a computer or smartphone using their minds, and Musk on Tuesday offered the world a first glimpse at what the team is working on.

Trump admin expands pre-deductible coverage for chronic disease treatments

July 19, 2019


The IRS and the Department of the Treasury on Wednesday issued new guidance to allow health insurers to cover 14 preventive treatments for certain enrollees with chronic conditions before they meet their health plan's deductible requirements.

CMS repeals Obama-era nursing home arbitration agreement ban, issues new rules

July 19, 2019


CMS this week finalized a rule that repeals a policy issued under former President Barack Obama that banned nursing homes from entering into pre-dispute binding arbitration agreements with residents, and instead prohibits long-term care facilities from forcing residents to sign them as a condition of residency.

Is your medical device under recall? This app will let you know.

July 19, 2019


A tech company on Monday launched a smartphone app that immediately alerts patients, providers, and caregivers when FDA recalls a medical device.

Fewer ACOS joined MSSP in 2019—but more are taking on risk, data show

July 19, 2019


Fewer accountable care organizations (ACOs) joined the Medicare Shared Savings Program in 2019 than in 2018—but more ACOs are taking on financial risk than in previous years, CMS Administrator Seema Verma announced in a Health Affairs blog published Wednesday.

As CMS tries to expand ACA waivers, Democrats look to scale them back

July 18, 2019


CMS on Monday released new resources for states seeking certain Affordable Care Act waivers, but Democrats have vowed to introduce legislation to roll back the Trump administration's criteria for the waivers after the Government Accountability Office determined Congress has the authority to overturn the guidance.

MACRA's Advanced APM track attracted more clinicians in 2018, CMS says

July 17, 2019


The number of clinicians who participated in MACRA's Advanced Alternative Payment Model track increased from 2017 to 2018, while the number of clinicians who participated in MACRA's Merit-based Incentive Payment System decreased, according to preliminary data CMS released Thursday.

Trump admin begins enforcing Title X family planning rule

July 17, 2019


The Trump administration on Monday announced that it will immediately start enforcing a final rule that bars health care providers and clinics that receive Title X family planning grants from providing or referring patients for abortion care.

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