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Cms Issues New Proposed Regulation On Risk Adjustment Formula For 2018 - Latest News


CMS Issues New Proposed Regulation On Risk Adjustment Formula For 2018

On August 8, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a new proposed rule to readopt a portion of its risk adjustment methodology for the 2018 plan year. Similar to a recent ... read more

CMS Proposes Rule for 2018 Risk Adjustment Payments

WASHINGTON -- The Centers for Medicare & Medicaid Services (CMS) continued its push to reinstate risk adjustment payments to health insurance plans, releasing a proposed rule to issue risk adjustment ... read more

New Mexico judge reaffirms risk adjustment ruling, casting uncertainty over future payments

U.S. District Judge James Browning reiterated his prior ruling that HHS’ approach to the risk adjustment formula ... issue is likely to come up in a lawsuit filed by New Mexico Health Connection ... read more

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The Impact Of New CMS Policy On Post-Acute Providers

The formula will apply an “adjustment factor ... rates under the HRRP. New Challenge to Medicare Payment Rates Beyond the lack of clarity regarding interrupted stays, the HRRP raises many other ... read more


Administration issues new rules aimed at strengthening ObamaCare

The Obama administration on Monday announced new regulations intended ... The rule proposed on Monday would make some changes that have been sought by insurers to an ObamaCare program called risk ... read more

CMS Issues Final Rule On 2018 Risk Adjustment Methodology; Litigation Likely To Continue

On December 7, 2018, the Centers for Medicare and Medicaid Services (CMS) released a new final rule on the risk adjustment methodology for the 2018 plan year. The final rule made no changes from the ... read more

Here Comes The Boom: CMS Slashes Medicare Advantage; 'Disarray For Many Seniors'

New rates to be ‘enormously disruptive’ The new rates proposed by the Centers for ... one has been actually passed by Congress. CMS could also decline to implement a recalibration of its risk ... read more

Health Insurers Warn of Market Turmoil as Trump Suspends Billions in Payments

Trump administration officials said they decided to suspend payments under the program because of a ruling in February in Federal District Court in New ... formula used by the federal government to ... read more

Home is where the money is for Medicare Advantage plans

But the visits also can be profitable for the health plans when they uncover new diseases that raise a patient’s risk score— even if the health plan provides no added treatment. CMS officials proposed ... read more

Health Republic is latest health care co-op to go under

WASHINGTON -- About 200,000 New ... "risk adjustment" formula that moves money from companies with healthier customers to those with sicker ones. Several co-ops said they wouldn't be able to enroll ... read more

CMS Solicits Advice on New Medicare Payment Rules

This is the new law that replaces the sustainable growth rate formula for Medicare physician payments with a new hybrid compensation approach. CMS is soliciting advice on how to write regulations ... ... read more

AAFP Dissects, Responds to CMS' Proposed 2014 Medicare Physician Fee Schedule

After careful review of CMS' proposed 2014 Medicare physician fee schedule in the July 19 Federal Register ... and Congress to avert the "devastating cut" and replace it with a new formula that ... read more



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