The CMS' decision to delay expansion of a major, mandatory bundled-payment pilot, the Comprehensive Care for Joint Replacement Model, raises questions about the future of such initiatives under the Trump administration.
Low income disabled patients say their care has improved under a federal experiment that allows states test ways to better manage benefits and care for people dually eligible for Medicare and Medicaid, according to a federal audit.
For now, it's a delay of three months, but the CMS is considering pushing back the Comprehensive Care for Joint Replacement program and its cardiac bundles until 2018.
Sign-ups on federal and state-based exchanges were lower than last year.
Doctors may be unknowingly forgoing hundreds of millions in federal funding that would compensate them to better care for the sickest Medicare beneficiaries, and the CMS is launching a national campaign Wednesday to encourage physicians to take advantage of the funds.
The Senate voted 55-43 to confirm Seema Verma as the next administrator for the CMS, an agency that spends around $1 trillion annually.
Minnetonka, Minn.-based UnitedHealthcare received the largest penalty for a range of infractions, including improperly denying or delaying beneficiaries' access to drugs.
The Trump administration has tapped Brian Neale, who worked with Vice President Mike Pence to develop Indiana's Medicaid expansion, to lead the Center for Medicaid and CHIP Services.
Seema Verma, the Indiana consultant who injected personal responsibility requirements and health savings accounts into that state's Medicaid program, deserves a shot at working with other states that want to redesign their programs.
Seema Verma, the nominee to lead the CMS, may claw back parts of a rule that overhauled managed Medicaid programs. She also opposes turning Medicare into a voucher program and thinks rural providers shouldn't participate in alternative payment models.
Health expenditures are projected to grow 5.6% a year over the next decade. The numbers affirm previous predictions that spending growth would accelerate because of the ACA's coverage expansions, an aging population and expensive new drugs.
This may be the week Republicans start putting policy details behind their rhetoric on repeal and replacement of the Affordable Care Act.