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.
WASHINGTON, D.C. (November 28, 2018)—The National Association for Home Care & Hospice (NAHC) will co-sponsor with state home health associations a series of 12 one-day seminars around the country in early 2019, exploring the Patient-Driven Groupings Model (PDGM), what it will mean for home health, and how businesses can adapt to some of the most consequential regulatory changes the industry has seen.
(November 1, 2018)—The Centers for Medicare & Medicaid Services’ Market Saturation and Utilization Data Tool is one of many tools used to monitor and manage market saturation as a means to help prevent potential fraud, waste and abuse. It also assists health care providers in making informed decisions about their service locations and the beneficiary population they serve.
(November 1, 2018)—For home health agencies, beginning with calendar year (CY) 2020, the Centers for Medicare & Medicaid (CMS) will implement a new case-mix system called the Patient-Driven Groupings Model (PDGM) that puts the focus on patient needs rather than volume of care.
(July 19, 2018)—The U.S. Senate unanimously approved legislation to delay until 2020 the requirement of electronic visit verification (EVV) to document when personal care services are provided. An identical bill passed the House of Representatives, sending the legislation to President Trump to sign into law.
WASHINGTON, D.C. (July 11, 2018)—The Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate a state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute.
WASHINGTON, D.C. (July 3, 2018)—To foster adoption of emerging technologies by home health agencies and to result in more effective care planning, the Centers for Medicare & Medicaid Services (CMS) proposed an updated home health prospective payment system (PPS), adding allowables for remote patient monitoring technology and implementing a new patient-driven groupings model (PDGM).
WASHINGTON, D.C. (June 27, 2018)—The Centers for Medicare & Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools.
By Liz Carey
(May 4, 2018)—The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1692-P) that would update the Medicare hospice wage index, payment rates, and cap amount for fiscal year (FY) 2019. As proposed, hospices would see an estimated 1.8 percent ($340 million) increase in Medicare payments for FY 2018.
Highlights of the proposal include physician assistants serving as attending physicians, effective January 1, 2019.
