Category Archive: CMS

Startup Seeks To Hold Doctors, Hospitals Accountable On Patient Record Requests

Despite laws requiring that health care providers hand over copies of patient records in a timely fashion, many people have trouble getting theirs. Ciitizen, a Palo Alto, Calif., company that helps cancer patients with the task, recently published a scorecard that rates hospitals, doctors and clinics on their compliance with records requests.

White House Unveils Finalized Health Care Price Transparency Rule

The final directive drew swift responses from the hospital and insurance industries. The Trump administration also released a proposed rule that would require health insurers to spell out for all services beforehand just how much patients may owe for their out-of-pocket costs.

Rural Seasonal Workers Worry About Montana Medicaid’s Work Requirements

Montana is one of several states that want Medicaid recipients to prove they work a steady, minimum number of hours monthly. Will federal courts allow the Montana rule change to stand?

Record Number Of Legionnaires’ Cases In 2018 Risk Lives, Cause Cleanup Headaches

Legionnaires’ disease cases hit an all-time high in 2018, with eight times more cases than 20 years ago. Even though many facilities in Missouri and elsewhere have water management plans in place to deal with the potentially deadly disease, they are still finding the underlying bacteria that causes it in their water.

Record Number Of Legionnaires’ Cases In 2018 Risk Lives, Cause Cleanup Headaches

Legionnaires’ disease cases hit an all-time high in 2018, with eight times more cases than 20 years ago. Even though many facilities in Missouri and elsewhere have water management plans in place to deal with the potentially deadly disease, they are still finding the underlying bacteria that causes it in their water.

Obamacare’s Star Ratings Offer A Glimmer Of Insight ― But Not For All

Federal officials unveil new ratings for the Affordable Care Act’s marketplace plans. Missouri is one of eight states that has no plans earning at least three stars on a five-star scale.

‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed

In what experts call an “epidemic of immobility,” older hospital patients remain stuck in bed, their movements tracked by loud and ineffective bed alarms, losing muscle mass that’s key to their health and daily functioning.

As Medicare Enrollment Nears, Popular Price Comparison Tool Is Missing

For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.

Tenn. Block Grant Experiment Would Boost Federal Funding, State Medicaid Chief Says

In a Q&A with Kaiser Health News, Tennessee Medicaid Director Gabe Roberts says state officials are requesting a modified block grant from federal officials because it would save money and allow the state to keep some of that savings.

KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.

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