CMS Proposed Rule for Plan Flexibility Risks Consumer Confusion

Casey SchwarzMedicare Watch0 Comments

This week, Medicare Rights Center submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) proposed rule for Medicare Parts C & D. The proposed rule contemplates many broad changes to the Medicare Advantage and prescription drug coverage programs, largely focusing on providing more flexibility and options for plan sponsors. CMS’s stated aim is to allow plans to use the proposed flexibility to better serve beneficiaries—by creating disease- or condition-specific sets of benefits, offering more plans, and altering cost sharing arrangements. Read More...

CMS Launches New Voluntary Bundled Payment Model

Lindsey CopelandMedicare Watch0 Comments

Last week, the Center for Medicare & Medicaid Innovation (CMMI) within the Centers for Medicare & Medicaid Services (CMS) announced plans to test a new way of paying Medicare providers for many of the services they perform, including major joint replacement and some cardiac interventions. This model—the Bundled Payments for Care Improvement Advanced (BPCI Advanced)—is the first of its kind to be introduced by the Trump administration. Read More...

HHS Requests Information on Medicare, Medicaid

Lindsey CopelandMedicare Watch0 Comments

Konstantin Chagin/

On December 26, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services (HHS) quietly issued an informal request for information (RFI) with significant implications for Medicare and Medicaid. Read More...

New Year, Same Threats

Lindsey CopelandMedicare Watch0 Comments

karen roach/

Lawmakers began returning to Washington this week, where they face a backlog of unresolved issues and a policy agenda that puts Medicare at risk. Before adjourning in December, Congress cleared a short-term spending bill that pushed contentious fiscal debates into early 2018. The result is a daunting to-do list this month, which includes the need to pass another temporary spending bill to keep the government open past January 19. Also on that list is a longer-term CHIP fix, full-year appropriations, DACA, a health care package, expiring Medicare policies, and additional disaster aid. Read More...