CMS Final Rule Extends Federal Diabetes Prevention Program To Medicare Beneficiaries

The federal government is hoping to build upon the successes of their pilot diabetes prevention program, as they are moving forward with their plan to expand the prevention program model to all Medicare beneficiaries. The Department of Health and Human Services recently revealed that they are planning to expand the program, as it made impressive…

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DOJ And HHS Jointly Attempt To Improve Child Welfare Systems

The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) recently issued a joint guidance letter to the local and state child welfare systems, highlighting the requirement of Title VI of the Civil Rights Act of 1964 and demanding them to implement the regulations as mentioned in the act. The guidance…

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CMS Launches New Initiative To Improve Clinician Experience

In a recent announcement, CMS declared their plans to launch a provider engagement initiative to improve the clinician experience in the Medicaid program. Reports indicate that the development of value-based care models under the MACRA and Affordable Care Act might be the main reason behind this initiative. CMS pointed out that the patient experience has…

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Obama Administration Planning To Use Obscure Treasury Department Funds

The Obama Administration is now trying hard to pay health insurers billions of dollars that the Federal government owes under ACA. This is planned through a move that may circumvent Congress and help improve the signature legislative achievement of the President before he leaves his office. The Department of Justice officials privately told health plans,…

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CMS Opposes Third Party Payment Of Insurance Premiums

CMS recently asked for the information of the practice of the payment of insurance premium for the beneficiary by third party. CMS is also requesting data on whether the enrollment of patients in the ACA by the providers (medical group, hospitals and physicians) be allowed when patients are eligible for Medicaid or Medicare. Even though…

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The New Proposed Rule By HHS Is In Favor Of Abortion Providers

According to the new proposed rule by the Department of Health and Human Services, the recipients of Title X federal funding for family planning would be banned from excluding potential funding recipients “for reasons unrelated to its ability to provide services effectively.” This newly proposed rule is meant to stop states from denying funds to…

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OACT Releases Projections Of National Health Expenditures For The Next Decade

A recent report from the CMS Office of the Actuary (OACT) predicted that the overall expenditure in the health care sector would grow substantially in the upcoming years. The report expects an average annual growth rate of 5.8 percent during the year 2015-2025. OACT also revealed that the overall national health care spending has reached…

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State Authorities Shutdown Another CO-OP Facility

The state officials in Illinois have shut down three CO-OP facilities within the last two month, the most recent one being the Land of Lincoln health insurance company. The Affordable Care Act (ACA) introduced 23 CO-OP facilities around the country, 16 of which have been closed by state officials already, and reports suggest that the…

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Top 5 Charge Capture Billing Software For Physicians

Mobile charge capture technology is an innovative and effective technical advancement in the field of medical science. By adopting an effective mobile charging application, you can eliminate many major issues such as inaccurate billing data, payment delays, information entry errors, and even lost charges. Many doctors and medical firms use this technology all over the…

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Concerns Raised On The Star Rating System For Hospitals

Recently, CMS released a new grading system that gives a star rating to the hospitals in the US based on the quality of care provided. For the first time, hospitals are given one to five star ratings. Out of the 155 hospitals that were rated, only the “Hospital for Special Surgery” in Manhattan received 5…

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