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News by Topic: Health insurance

Feb 6, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on a revision of an information collection request titled "Implementation of Medicare Programs;—Medicare Promoting Interoperability Program." Revisions reflect changes for eligible hospitals and Critical Access Hospitals (CAHs) that attest to CMS under the Medicare Promoting Interoperability Program finalized in the Fiscal Year 2024 Inpatient Prospective Payment System (PPS)/Long-term Care Hospital PPS final rule. Comments are due by March 7, 2024.
Source: Federal Register
Feb 6, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of DNV Healthcare USA Inc. (DNV) as a national accrediting organization for psychiatric hospitals that wish to participate in the Medicare or Medicaid programs. Comments are due by March 7, 2024.
Source: Federal Register
Feb 2, 2024 - Announces new legislation to increase Medicare reimbursements for rural hospitals in Hawaii and Alaska performing outpatient procedures for older adults. The legislation is meant to recognize the higher costs of living in Alaska and Hawaii and ensure continued access to care for the older adults living in those areas.
Source: Office of Senator Lisa Murkowski
Jan 30, 2024 - Quarterly listing of Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from October through December 2023, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Jan 30, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on all aspects of data related to the MA program, including data not currently collected. CMS is especially interested in data-related recommendations related to beneficiary access to care, including provider directories and networks; prior authorization and utilization management, including denials of care and beneficiary experience with appeals processes as well as use and reliance on algorithms; cost and utilization of different supplemental benefits; all aspects of MA marketing and consumer decision-making; care quality and outcomes, including value-based care arrangements and health equity; and special populations such as individuals dually eligible for Medicare and Medicaid, individuals with end-stage renal disease (ESRD), and other enrollees with complex conditions. Comments are due by May 29, 2024.
Source: Federal Register
Jan 29, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Rebate Reduction Requests under Sections 11101 and 11102 of the Inflation Reduction Act; 2) Identifying Medicaid Payment for Physician Administered Drugs; and 3) Application to be a Qualified Entity to Receive Medicare Data for Performance Measurement/Reapplication/Annual Report Worksheet. Comments are due by March 29, 2024.
Source: Federal Register
Jan 25, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) CMS Plan Benefit Package (PBP) and Formulary CY 2025; and 2) Satisfaction of Nursing Homes, Hospitals, and Outpatient Clinicians Working with the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC). Comments are due by February 26, 2024.
Source: Federal Register
Jan 25, 2024 - Announces new proposed bipartisan legislation that aims to remove barriers to mental health telehealth care for Medicare patients. The legislation would remove the requirement that a patient be seen in person before receiving telehealth services. Notes the positive impact this legislation would have on rural residents.
Source: Office of Senator Tina Smith
Jan 23, 2024 - Highlights the impact of Medicaid expansion in North Carolina, particularly for rural residents. Discusses challenges that remain including low reimbursement rates, workforce shortages, and public awareness of their eligibility.
Source: WRAL News