| Links to Articles and Content (167) |
CMS Announces Details of Post Acute Demonstration
(News Article)
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Aug 6th, 2007
CMS held an open door forum specifically to give more details of its important Medicare Post Acute Care Demonstration. The purpose of this congressionally mandated demo is to gather information on the cost and quality of different forms of post-acute care to suggest new ways for Medicare to pay for...
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110th Congress Brings New Health Care Priorities to the Table
(News Article)
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Jan 22nd, 2007
The powerful Ways and Means Health Subcommittee has released a list of their top priorities for the upcoming legislative session. The panel intends to conduct extensive oversight of the following issues:Medicare Part D drug benefit including drug pricing and options for negotiating prices and...
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New Medicaid Law Requires Agency Anti-Fraud Procedures
(News Article)
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Jan 8th, 2007
If you handle a large amount of Medicaid business (over $5 million per year) or are part of an “entity” that exceeds that threshold, the Deficit Reduction Act requires that you incorporate special fraud control language in your operating procedures, training and personnel manual. While few of our...
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Office of Inspector General (OIG) Targets Several HH and Hospice Areas
(News Article)
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Oct 2nd, 2006
The Health and Human Services OIG has released its 2007 Work Plan which lists several home health and hospice areas among the hundreds of target areas for audit activity.
Medicare home health areas that will be audited:home health outlier payments( do they cluster geographically or by HHRG);...
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CMS Promotes Medicare Advantage Special Needs Plans
(News Article)
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Aug 7th, 2006
Those members who have experienced significant market penetration of Medicare managed care this year through the growth of Medicare Advantage Special Needs Plans can tell you that it’s not been an easy go. Special Needs Plans were instituted in large part to provide a vehicle for Medicaid agencies...
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CMS Announces New Grants Promoting Medicaid Home and Community-Based Services
(News Article)
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Jul 31st, 2006
CMS formally announced the opening of grant opportunities to States under Medicaid to promote home and community-based services programs as alternatives to institutional care. These grants help implement Section 6071 of the Deficit Reduction Act of 2005, the “Money Follows the Person Rebalancing...
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