Verma has supported charging premiums to individuals above and below the poverty line and freezing beneficiaries out of coverage if they don't pay. But she could prove to be a knowledgeable ally to states looking to better control their Medicaid dollars.
A new study suggests the socio-economic conditions where a hospital is located heavily influence its quality rating published on the federal government's Hospital Compare website.
The CMS has renewed conservative Medicaid waiver proposals from Indiana and Iowa that will extend into President-elect Donald Trump's incoming administration.
The tool is an application program interface, or API, that will allow physicians and their practices to build software that enables sharing of quality measure data for MACRA.
Sources say President-elect Donald Trump's transition team for HHS will be led by Andrew Bremberg, who worked at the agency under President George W. Bush and was an adviser to Senate Majority Leader Mitch McConnell and during Wisconsin Gov. Scott Walker's presidential bid.
HHS last week reported a surge in people enrolling for coverage on the Affordable Care Act's federal exchange on the day after Donald Trump, who said repealing the law is a main priority, was elected into the presidency.
CEO Dr. Richard Gilfillan previously led the Center for Medicare and Medicaid Innovation, which pilots value-based reimbursement experiments. Modern Healthcare Editor Merrill Goozner spoke with Gilfillan the day after the general election.
The CMS has approved a waiver that will allow Massachusetts to overhaul its Medicaid program by putting its beneficiaries into accountable care organizations.
Services like HealthLoop are increasingly in demand as Medicare changes its payment system to encourage hospitals to become more responsible for patients' clinical and financial outcomes over the entire episode of care—that is from the time they were admitted to the hospital until 90 days...
Can he change? Will he change? Can he repair the social fabric torn asunder by his campaign? We can only pray that he sticks to the conciliatory themes laid out in his victory speech.
President-elect Donald Trump's promise to dismantle the Affordable Care Act is unlikely to also undo widespread efforts to nudge the U.S. healthcare system toward value-based payment, including experiments devised by the ACA-funded CMS Innovation Center.
Today's elections surely won't end the eight-year political war over the shape of the U.S. healthcare system. But the ballot results likely will determine whether the changes driven by the ACA continue in the same direction or the system returns to its previous, less-regulated form.