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Medicaid and Children’s Health Insurance Program Managed Car…

(7 days ago) Centers for Medicare & Medicaid Serviceshttps://www.cms.gov/about-cmsAbout CMS CMS - Centers for Medicare & Medicaid ServicesWEBAbout Us. CMS is the federal agency that provides health coverage to more than 160 million through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace. CMS works in partnership with the entire health care …

https://www.cms.gov/newsroom/fact-sheets/medicaid-and-childrens-health-insurance-program-managed-care-access-finance-and-quality-final-rule#:~:text=Managed%20care%20is%20the%20predominant%20delivery%20system%20in,payment%2C%20and%20provide%20comprehensive%20program%20monitoring%20and%20oversight.

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Health equity CMS - Centers for Medicare & Medicaid Services

(Just Now) WEBHow can CMS address health equity?. CMS programs cover more than 160 million people across the country through the 3Ms - Medicare, Medicaid and the …

https://www.cms.gov/pillar/health-equity

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Centers for Medicare & Medicaid Services - Wikipedia

(2 days ago) The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these progra…

https://en.wikipedia.org/wiki/Centers_for_Medicare_%26_Medicaid_Services

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About Us Medicare

(3 days ago) WEBAbout Us. Medicare is health insurance for people 65 or older. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS …

https://www.medicare.gov/about-us

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Centers for Medicare and Medicaid Services (CMS) USAGov

(1 days ago) WEBThe Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children’s Health Insurance …

https://www.usa.gov/agencies/centers-for-medicare-and-medicaid-services

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CMS Focus on Health Equity The Measures Management System

(4 days ago) WEBThe CMS Framework for Health Equity 2022-2023 (2022) has five priorities: Priority 1: Expand the Collection, Reporting, and Analysis of Standardized Data. Priority 2: Assess …

https://mmshub.cms.gov/about-quality/quality-at-CMS/goals/cms-focus-on-health-equity

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What Medicare plans should know about CMS’ recent health …

(Just Now) WEBThe U.S. government has recently amplified its commitment to health equity, as evidenced by the release of documents such as the “CMS Framework for Health …

https://www.milliman.com/en/insight/recent-health-equity-focused-initiatives-from-cms-medicare-plans

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What's Medicare? Medicare

(1 days ago) WEBMedicare Advantage is Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These “bundled” …

https://www.medicare.gov/what-medicare-covers/your-medicare-coverage-choices/whats-medicare

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Welcome to Medicare Medicare

(5 days ago) WEBGet reminders about open enrollment, ways to save costs, and more. The official U.S. government website for Medicare, a health insurance program for people age 65 or …

https://www.medicare.gov/

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Three Outstanding Questions About CMS’s Ambitious New …

(7 days ago) WEBFirst, states must be prepared to promote primary care investment. Medicare will provide primary care management fees, and presumably other payers will …

https://www.healthaffairs.org/content/forefront/three-outstanding-questions-cms-s-ambitious-new-ahead-model

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Everything To Know About the CMS Health Equity Index - Arine

(5 days ago) WEBThe Health Equity Index (HEI) is a CMS-created score to incentivize Part C and Part D health plans to improve care for the most vulnerable patients. The index will …

https://blog.arine.io/cms-health-equity-index

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Ensuring Access to Medicaid Services Final Rule (CMS-2442-F)

(6 days ago) WEBEnsuring beneficiaries can access covered services is a critical function of the Medicaid program and a top priority of the Department of Health and Human Services, …

https://www.cms.gov/newsroom/fact-sheets/ensuring-access-medicaid-services-final-rule-cms-2442-f

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How and when to apply for Medicare USAGov

(9 days ago) WEBMedicare is the federal health insurance program for people who are 65 and over. If you are under 65, you may be eligible to get Medicare earlier if you have a …

https://www.usa.gov/medicare/

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Medicare basics Medicare

(3 days ago) WEBWorking past 65. Find out what to do if you’re still working & how to get Medicare when you retire. Medicare offers different options for you to get health care coverage. Start here …

https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics

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Medicaid and Children’s Health Insurance Program Managed Care …

(9 days ago) WEBManaged care is the predominant delivery system in Medicaid and the Children’s Health Insurance Program (CHIP), with over 70% of Medicaid and CHIP …

https://www.cms.gov/newsroom/fact-sheets/medicaid-and-childrens-health-insurance-program-managed-care-access-finance-and-quality-final-rule

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What Is Medicare: Coverage, Cost and Enrollment U.S. News

(5 days ago) WEBIn 2024, the standard monthly premium for Medicare Part B enrollees is $174.70. However, premiums are higher for individuals earning more than $103,000 per …

https://health.usnews.com/medicare/articles/your-guide-to-medicare-coverage

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About Us Medicaid

(4 days ago) WEBAbout Us. The Center for Medicaid and CHIP Services (CMCS) is one of six Centers within the Centers for Medicare & Medicaid Services (CMS) , an agency of the U.S. …

https://www.medicaid.gov/about-us/index.html

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Home Care Industry Slams Finalized 80-20 Rule, Warns Agency …

(8 days ago) WEB“The ‘Ensuring Access to Medicaid Services’ final rule, finalized today, will help improve access to home care services as well as improve the quality caregiving …

https://homehealthcarenews.com/2024/04/home-care-industry-slams-finalized-80-20-rule-warns-agency-closures-are-coming/

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3 big changes coming to Medicare in 2025—and what they'll

(5 days ago) WEBCMS hopes to end sales incentives in 2025 for Medicare Advantage and Part D plans.. “This announcement is a big win for seniors because it strengthens protections …

https://fortune.com/well/article/medicare-changes-2025/

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Biden-Harris Administration Takes Historic Action to Increase …

(5 days ago) WEBThe U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), today issued three final rules to fulfill …

https://www.hhs.gov/about/news/2024/04/22/biden-harris-administration-takes-historic-action-increase-access-quality-care-support-families-care-workers.html

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Medicare, trying to do a better job on chronic care, is hitting - NPR

(4 days ago) WEBAbout 12,000 physicians billed Medicare under the CCM mantle in 2021, according to the latest Medicare data analyzed by KFF Health News. (The Medicare …

https://www.npr.org/sections/health-shots/2024/04/17/1244879040/medicare-chronic-care-management-seniors

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CMS finalizes minimum staffing standards for nursing homes

(9 days ago) WEBThe Centers for Medicare & Medicaid Services April 22 finalized minimum staffing requirements for nursing homes that participate in Medicare and Medicaid. As …

https://www.aha.org/news/headline/2024-04-22-cms-finalizes-minimum-staffing-standards-nursing-homes

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Wegovy: 3.6 million Medicare enrollees may now be eligible for

(3 days ago) WEBAbout 3.6 million Medicare enrollees may qualify for coverage for the anti-obesity drug Wegovy, according to a KFF analysis released Wednesday. But it could …

https://www.cnn.com/2024/04/24/health/wegovy-medicare-spending/index.html

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History CMS - Centers for Medicare & Medicaid Services

(8 days ago) WEBThe Children’s Health Insurance Program (CHIP) was created in 1997 to give health insurance and preventive care to nearly 11 million, or 1 in 7, uninsured American …

https://www.cms.gov/about-cms/who-we-are/history

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What Home Health Providers Can Learn From CMS’ Other …

(5 days ago) WEBCMS released the 2025 proposed payment rules for hospice and skilled nursing facilities (SNFs) in March. On the hospice side, the proposed rule included a …

https://homehealthcarenews.com/2024/04/what-home-health-providers-can-learn-from-cms-other-proposed-rules-for-2025/

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HIPAA Eligibility Transaction System (HETS) Health Care …

(5 days ago) WEBthe Medicare beneficiary has Medicare coverage but does not have a Medicare Health Insurance card, encourage them to contact the Social Security Administration at 1-800 …

https://www.cms.gov/files/document/hets2024-2-hets-270/271-companion-guide-v10-36.pdf

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Examining New Medicaid Resources to Expand School-Based - KFF

(9 days ago) WEBRecent guidance states that Medicaid spending for school-based health services in 2021 was nearly $6 billion. Provisions from the Safer Communities Act of …

https://www.kff.org/mental-health/issue-brief/examining-new-medicaid-resources-to-expand-school-based-behavioral-health-services/

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Abt Single-Sided Body Template - Centers for Medicare

(8 days ago) WEBThe cut points are based on facility health inspection scores and are set separately for each state to achieve this distribution: 5 stars: ≤10th percentile. 4 stars: >10th percentile and ≤ …

https://www.cms.gov/files/document/five-star-state-level-cut-point-tables-april-2024.pdf

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Michigan Medicare-Medicaid Plan Quality Withhold Analysis …

(2 days ago) WEBMichigan Medicare-Medicaid Plan Quality Withhold Analysis Results Demonstration Year 7 (Calendar Year 2022) The Medicare-Medicaid Financial Alignment Initiative (FAI) seeks …

https://www.cms.gov/files/document/qualitywithholdresultsreportmidy7.pdf

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Governor Hochul Announces Significant Steps to Improve New …

(3 days ago) WEBA historic $37 billion Medicaid investment maintains the State’s commitment to supporting the health care safety net and transforming the health care delivery system, …

https://www.governor.ny.gov/news/governor-hochul-announces-significant-steps-improve-new-yorkers-health-part-fy-2025-budget

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