Centers for Medicare & Medicaid Services

WASHINGTON, D.C. (November 20, 2019)—The Centers for Medicare and Medicaid Services (CMS) has issued Change Request (CR) 11527, which includes further updates to the Claims Processing Manual, chapter 10, related to the Patient Driven Groupings Model (PDGM).

SHOREVIEW, Minn. and TORONTO (December 17, 2018)—Maxwell Healthcare Associates (MHA), a post-acute operational, financial, technological and regulatory consulting firm, announced Swift Skin and Wound as its exclusive digital wound care management solution of choice for MHA home health clients. 

WASHINGTON, D.C. (August 10, 2018)—The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule to overhaul the Medicare Shared Savings Program. The program was established under the Affordable Care Act and launched in 2012. The majority of Medicare’s Accountable Care Organizations (ACOs) operate under the program. 

Washington, D.C. (May 12, 2016)—The highly anticipated companion bill to S. 2736, the Patient Access to Durable Medical Equipment (PADME) Act, was introduced in the House of Representatives on Thursday, May 12, 2016. H.R. 5210 was introduced by Representatives Tom Price, M.D. (R-Ga.) and Dave Loebsack (D-Iowa). This bill has gathered broad bi-partisan support as it has been introduced with 40 original co-sponsors including Reps.

WASHINGTON, D.C. (April 14, 2016)—The Centers for Medicare & Medicaid Services (CMS) announced Monday its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians and the 25 million people they serve.

WASHINGTON, D.C. (March 3, 2016)—The Centers for Medicare & Medicaid Services (CMS) issued the final annual Notice of Benefit and Payment Parameters for the 2017 coverage year, along with related guidance documents, as part of their ongoing efforts to promote healthy and stable markets that work for consumers and insurers.

WASHINGTON, D.C. (March 3, 2016)—Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-P)
This proposed rule is part of CMS’s ongoing and continuous effort to prevent questionable providers and suppliers from entering the Medicare program and enhance our ability to promptly identify and act on instances of improper behavior.

WASHINGTON, D.C. (February 24, 2016)—The Centers for Medicare & Medicaid Services (CMS) released proposed changes for the Medicare Advantage and Part D Prescription Drug Programs in 2017 that will, if finalized, provide stable and fair payments to plans, and makes unprecedented improvements to the program for plans that provide high quality care to the most vulnerable enrollees.

WASHINGTON, D.C. (February 4, 2016)—Today we released the annual report summarizing impacts from the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents in 2014. This three-year-old initiative is designed to test ways to reduce avoidable hospitalizations among long-stay nursing facility residents. For such individuals, avoidable hospitalizations can be dangerous, disruptive, and disorienting.