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HHS: Premiums for benchmark plans to decline 2 percent on average
Insurers have proposed to cut premiums for 2019 benchmark plans on the federal health insurance exchange by 2 percent nationally, Health and Human Services Secretary Alex Azar announced yesterday.
CMS announces average Medicare Advantage, Part D premiums for 2019
The Centers for Medicare & Medicaid Services today released premium and cost infor
OIG: CMS should address inappropriate Medicare Advantage plan denials
The Centers for Medicare & Medicaid Services should enhance its oversight of Medicare Advantage organization contracts and address persistent problems related to inappropriate denial of services and payment, the Department of Health and Human Services’ Office of Inspector General said in a report yesterday.
CMS proposes changes to Medicare appeals procedures
The Centers for Medicare & Medicaid Services today issued a proposed rule that would revise regulations setting forth the appeals process that Medicare beneficiaries, providers and suppliers must follow in order to appeal adverse determinations regarding claims for benefits under Medicare Parts A and B and prescription drug coverage under Part D.
CMS issues FAQs on new price transparency requirements
The Centers for Medicare & Medicaid Services yesterday released frequently asked questions on new requirements for hospitals to publicly post their charges in a machine-readable format on an annual basis
CMS announces initiative to improve Medicare customer experience
The Centers for Medicare & Medicaid Services today announced updated tools to help Medicare beneficiaries compare coverage options and estimate costs during open enrollment, part of a multi-year initiative to modernize how beneficiaries get Medicare information.
Nov. 1 deadline to submit Medicaid advanced APMs for 2019 QPP
Eligible clinicians and entities participating in state Medicaid payment arrangements may ask the Centers for Medicare & Medicaid Services through Nov. 1 to determine whether the arrangement qualifies as an advanced alternative payment model for performance year 2019.
ICD-10 codes for human trafficking take effect
Starting today, health care providers can use any of 29 ICD-10 diagnostic codes to identify and document victims of human trafficking.
GAO: Rural hospital closures more than double over five years
A total of 64 rural hospitals closed between 2013 and 2017, more than twice the number during the prior five-year period.
FDA announces actions to strengthen medical device cybersecurity
The Food and Drug Administration today released a framework to help hospitals and other health care providers plan for and respond to cybersecurity incidents involving medical devices.