Tag Archives: CMS

ACA Round-Up: Medicare Trustees Report Does Not Trigger IPAB, And More

All eyes yesterday were focused on the Senate, which released significant new amendments to the Better Care Reconciliation Act. But the Senate was not the only game in town.

July 14, 2017

ACA Round-Up: New Unified Rate Review Instructions, Redesigned QHP Website, And More

On April 7, CMS released the 2018 Unified Rate Review Instructions. On April 5, 2017, CMS also announced at its REGTAP.info website a redesigned QHP (qualified health plan) website and a pilot program using Salesforce to improve communications between insurers and states.

April 10, 2017

CMS Contractors’ Survey Research Illustrates Four Health Care Transparency Paradoxes

This article identifies what might be called four health care transparency paradoxes -- aspects of HHS transparency communications in which assumptions are contradicted by what consumers have told researchers.

December 28, 2016

National Health Spending: A Return To The ‘Old Normal?’

As we return to the “old normal” of health care cost growth, our health care system looks radically different under the hood. The close of this episode has important lessons for policymakers, the incoming Trump administration, and health policy analysts.

December 14, 2016

The Costs And Benefits Of Health Spending In 2015

The annual estimates tell us a lot about growth in spending, sources of funding, and broad categories of use. They don’t, however, tell us much about the level and allocation of benefits from additional spending.

December 13, 2016

National Health Spending Grows Faster In 2015

A new Web First from Health Affairs estimates that in 2015 health care spending in the United States grew at a rate of 5.8 percent and reached $3.2 trillion, or $9,990 per person.

December 2, 2016

CMS’ Hospital Quality Star Ratings Fail To Pass The Common Sense Test

A closer look at the quality performance of five-star hospitals brings into question the results from the Centers for Medicare and Medicaid Services.

November 14, 2016

MACRA Final Rule: CMS Strikes A Balance; Will Docs Hang On?

The central theme of the MACRA Final Rule is its softening of key parameters in an effort to allay provider concerns, rally participation, and avoid adverse consequences out of the gate. The complexity and Icarian vision of MACRA abides, but CMS is all but ushering docs in with their bare hands.

October 17, 2016

New Guidance on Premium Rate Increases

CMS releases new guidance for premium rate increases determined by CMS or a State to be "unreasonable."

September 26, 2016

CMS Sees Drop In Special Enrollment Period Selections, Plans Further Steps

As premium rate increases for 2017 continue to come in high, the Centers for Medicare and Medicaid Services (CMS) continues to look for “fixes” that might calm down jittery marketplace insurers. A major focus of these efforts has been special enrollment periods.

September 6, 2016