Medicare & Medicaid
Enrollment is strong the day after the election of a president who plans to repeal ACA.
Reducing the number of people in Medicaid while ensuring that only the most needy -- such as children and pregnant women -- remain eligible will be a goal for Trump and the new Congress.
The money is to support prevention activities and treatment services for health conditions related to the Zika virus, CMS said.
In 2014, recovery auditors identified $2.39 billion in overpayments and $173.1 million in underpayments repaid to providers.
Medicare Advantage takes on capitated risk, so why don't these plans qualify as an advanced alternative payment model?
Payment differences have provided an incentive for hospitals to acquire physician offices.
The agency is also adding a three-item care transition dimension to the HCAHPS survey in 2018.
Home health agencies that do not submit quality measure data to CMS will see a 2 percent reduction in their annual payment.
Facilities that do not meet total performance scores will see up to a 2 percent reduction in the quality incentive program.
Premium assistance programs have come under fire from insurers.