California Healthline: CMS Settlement May Have Ripple Effect

by David Gorn MS officials this week approved a settlement officially halting a 10% Medi-Cal payment reduction from 2011 at California independent living centers. Federal approval came three years after the issue was settled in court. The state of California settled a series of lawsuits around the independent living centers’ Medi-Cal reductions in 2012, but … Continue reading

Huffington Post: Key Obamacare Official Stepping Down

Jonathan Cohn & Jeffrey Young  A senior government official with almost unparalleled authority over the U.S. health care system is stepping down, ending a tenure that included one highly publicized, highly consequential failure on Obamacare as well as significant, if less heralded, successes. Marilyn Tavenner will resign as administrator of the Centers for Medicare and Medicaid Services, … Continue reading

NSCLC: State Officials, Providers, and Disability and Aging Groups Praise CMS Guidance on HCBS Rule

From our colleagues at NSCLC:  Since Centers for Medicare & Medicaid Services’ (CMS) release of final regulations regarding the settings of Home and Community Based Services (HCBS) rule in January 2014, there has been some confusion among providers, families, advocates, people with disabilities and their families over whether people will lose services on March 17, … Continue reading

Fox News: Medicare agency is focus of insider trading investigations

In Washington, it's called the Affordable Care Act. In Sacramento, it could be become known as another budget buster. (Mark Boster / Los Angeles Times / July 9, 2012)

Employees of the federal agency that oversees Medicare and the federal health exchange website are the focus of three Securities and Exchange Commission (SEC) investigations to determine whether they leaked news about pending health policy decisions that would up in the hands of Wall Street traders. According to The Wall Street Journal, nearly a dozen officials … Continue reading

California Healthline: One Waiver Down, One More To Go?

by David Gorn With its current waiver, California successfully expanded Medi-Cal, its Medicaid program, and launched the dual eligibles demonstration project. That federal-state agreement — known as a Section 1115 waiver — is due to expire in October 2015, but that doesn’t mean the state is done with it. State health officials have formulated a … Continue reading

Cal Duals: CMS funds Ombudsman programs

From Cal Duals: The Centers for Medicare & Medicaid Services (CMS) and the Administration for Community Living (ACL) announced new funding to help improve coordination of care for Medicare-Medicaid enrollees. The funds will develop ombudsman programs for coordinated health plans for dually eligible individuals. Read more about the ombudsman program funding here.   Click here … Continue reading

LA Care: L.A. Care Announces 2015 Medicare Stars Rating and Full Participation in Cal MediConnect

Update from LA Care Health Plan:  L.A. Care Health Plan, the nation’s largest publicly operated health plan, is proud to announce the results of the annual Medicare Star Ratings, which indicate that L.A. Care’s Medicare Part D Star Rating has improved for 2015. With this new rating, L.A. Care will begin accepting passive enrollment into … Continue reading

CMS: Fact sheets: Medicare ACOs continue to succeed in improving care, lowering cost growth

Pioneer ACO Model and Medicare Shared Savings Program ACOs show continued quality of care improvements and additional Medicare savings The Centers for Medicare & Medicaid Services today issued quality and financial performance results showing that Medicare Accountable Care Organizations (ACOs) have successfully improved the quality of care for Medicare beneficiaries by fostering greater collaboration between … Continue reading

The Washington Times: IRS commissioner: We’ll deal with Obamacare even though Congress has withheld funding request

** FILE ** Internal Revenue Service Commissioner John Koskinen testifies under subpoena before the House Oversight Committee as lawmakers continue their probe of whether tea party groups were improperly targeted for increased scrutiny by the IRS, on Capitol Hill in … more >   By Tom Howell Jr.  IRS Commissioner John Koskinen told Congress on … Continue reading

Click here for Measurement, Monitoring, and Evaluation of State Demonstrations to Integrate Care for Dual Eligible Individuals 

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