Centers for Medicare & Medicaid Services (CMS) news and information

The closely watched Medicare Pioneer accountable care program finished its first year with modest cost savings while losing nearly one-third of its participants.
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Medicare Pioneer ACOs that saved money on patient care—and will share Medicare's $140 million in total savings for 2012—credit their success to an intense focus on improving coordination and care for the most complex and costly patients.
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About “Why one Medicare Pioneer ACO succeeded in saving money”, I really like this article. It is so easy to just listen for and repeat negative comments about the Pioneer ACO experience. I like to learn from...
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CMS officials pushed back Wednesday on Republican suggestions that a pause is needed in the electronic health-record incentive program.
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For hundreds of thousands of primary-care physicians across the country, the era of unreimbursed evaluation-and-management, or E&M, care may finally be coming to an end.
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Healthcare providers have long decried the cacophony of reporting requirements under various CMS programs and have asked for harmonization of the rules. Now, the 652-page proposed rule encompassing changes to the Medicare Physician Payment Schedule, released Monday, may have providers who report...
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Hospitals would get a 1.8% boost in their outpatient Medicare payments next year while the increase for ambulatory surgery centers would total 0.9%, under a proposed rule from the CMS.
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Instantaneous eligibility determination for exchange subsidies or Medicaid will not happen on Oct. 1 because of the Obama administration's decision to put off for one year requiring employers to report their employee health coverage, as well as a CMS-proposed rule published Friday loosening...
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Doctors at a central New York hospital nearly harvested organs from a woman in 2009 despite warning signs she wasn't dead, and the hospital has been fined, according to state records.
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Eli Lilly and Co. and the Alzheimer's Association say that the CMS' proposal to limit coverage of a pricey new test used to identify brain plaques associated with Alzheimer's disease would hinder diagnosis.
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