WASHINGTON, D.C. (May 3, 2022)—Medicare Advantage Organizations (MAOs) sometimes delayed or denied beneficiaries access to services according to a recent Health and Human Services Office of Inspector General (OIG) report. The denials occurred even when the requests met Medicare coverage rules. MAOs also denied payments to providers for some services that met both Medicare coverage rules and MAO billing rules.
The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
BIRMINGHAM, Alabama (August 12, 2021)—Sorry, Joe Namath. Despite what you keep saying in those TV ads, under Medicare, seniors are not “entitled to eliminate copays and get dental care, dentures, eyeglasses, prescription drug coverage, in-home aides, unlimited transportation and home-delivered meals, all at no additional cost.” But if Democratic lawmakers in Congress have their say, seniors could soon be entitled to some of those services.
MENLO PARK, California (June 24, 2021)—The Biden administration is quietly engineering a series of expansions to Medicaid that may bolster protections for millions of low-income Americans and bring more people into the program.
Biden’s efforts — which have been largely overshadowed by other economic and health initiatives — represent an abrupt reversal of the Trump administration’s moves to scale back the safety-net program.
WASHINGTON, D.C. (December 17, 2020)—The Health Resources and Services Administration (HRSA) announced it will distribute $24.5 billion from the Provider Relief Fund (PRF) program to over 70,000 providers.
ATLANTA, Georgia (Nov. 5, 2020)—The Centers for Medicare & Medicaid (CMS) is seeking an unprecedented level of advice from stakeholders even as it makes major changes to the competitive bidding program, Mark Higley, vice president or regulatory affairs for VGM, and others said Wednesday.
WASHINGTON, D.C. (November 3, 2020)--The Centers for Medicare & Medicaid Services (CMS) announced that it has finalized policies that allow certain new equipment and supplies used for dialysis treatment of patients with End-Stage Renal Disease (ESRD) in the home to qualify for an additional Medicare payment. The final rule encourages the development of home dialysis machines that will give Medicare beneficiaries with ESRD more dialysis treatment options in the home.