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Improper Medicare payments fall to record low, CMS says

November 20, 2018

CMS says the 2018 Medicare Fee-For-Service (FFS) improper payment rate decreased from 9.51% in fiscal year (FY) 2017 to 8.12% in FY 2018, marking the second consecutive year the agency's improper Medicare FFS payment rate is less than 10%.

In the states: California OKs CVS-Aetna merger, Michigan gets approval to negotiate Medicaid drug prices, and more

November 16, 2018

American Health Line rounds up the latest health care news in the states.

Meet Mary Mayhew, CMS' new director of Medicaid and CHIP

October 17, 2018

Mary Mayhew, the former commissioner of Maine's Department of Health and Human Services, is CMS' new deputy administrator and director of the Center for Medicaid and CHIP.

Trump admin seeks to deny green cards to immigrants who use Medicaid, food stamps, or other public programs

September 24, 2018

The Trump administration's proposed rule would expand criteria to determine entry and residency status for legal immigrants to include a wider range of public benefits, such as Medicaid or Supplemental Nutrition Assistance Program—a move some hospital and provider groups say could increase uncompensated care costs.

MACPAC to Congress: Change how the Medicaid drug rebate program works

June 26, 2018

The Medicaid and CHIP Payment and Access Commission (MACPAC) in its annual report calls on Congress to introduce changes that would reduce spending in the Medicaid drug rebate program, including a change in the calculation of the average manufacturer price of drugs.

Senate rejects attempt to bring up Trump proposal to cut $7B in unspent CHIP funds

June 22, 2018

Rules that would allow the Senate to pass President Trump's rescissions measure by a simple majority vote are scheduled to expire today, meaning Wednesday's failed attempt to bring up the bill might mean the Senate will not have time to consider the measure.

House votes to eliminate $7B in unspent CHIP funds

June 11, 2018

The bill—which would eliminate nearly $15 billion in unused federal funding, including $7 billion in unused CHIP funds—now heads to the Senate, where it is unclear if it has enough support to pass.

Here's what we can learn from CMS' first-ever Medicaid scorecard

June 5, 2018

CMS Administrator Seema Verma says, "The scorecard will be used to track and display progress being made throughout and across the Medicaid and CHIP programs, so others can learn from the successes of high-performing states."

Trump wants to take back $15.4B in unused federal funds, including $7B from CHIP

May 9, 2018

President Trump's rescission proposal would not affect program's current federal funding, but would eliminate funds that were allocated in previous fiscal years and were not used, including $2 billion from a contingency fund that states can use if they enroll more CHIP beneficiaries than they had expected.

CMMI meets 2015 payment model goal—but recommends few programs for expansion, GAO finds

April 30, 2018

The Government Accountability Office finds CMS has expanded two of the 37 care delivery and payment models it has implemented since November 2010.

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