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Archived Articles
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2019: May
Other Releases
  Kaiser Family Foundation – Medicaid’s Prescription Drug Benefit: Key Facts
  ASPE – Assessing the Costs and Benefits of Extending Coverage of Immunosuppressive Drugs under Medicar
2019: April
CMS & HHS Releases
  HHS News: HHS to Deliver Value-Based Transformation in Primary Care
2019: March
Federal and State Health Care Reform
  Kaiser Family Foundation – Broker Websites Expand Health Plan Shopping Options While Glossing Over Details
2019: February
CMS & HHS Releases
  CMS Office of the Actuary Releases 2018-2027 Projections of National Health Expenditures
2019: January
  HHS is Committed to Protecting Life and Conscience
  OCR Finds the State of California Violated Federal Law in Discriminating Against Pregnancy Resource Centers
2018: November
  Fact Sheet: Final Rules on Religious and Moral Exemptions and Accommodation for Coverage of Certain Preventive Services Under the Affordable Care Act
  CMS-9922-P: Exchange Program Integrity Proposed Rule
  CMS releases proposed rule to improve the integrity of the Exchange - Proposed rule advocates for additional oversight to protect both the issuer and consumer
  CY 2019 OPPS and ASC Rule Encourages More Choices and Lower Costs for Seniors
  CMS Announces New Medicaid Demonstration Opportunity to Expand Mental Health Treatment Services
  CMS Finalizes Policies to Modernize and Drive Innovation in Durable Medical Equipment (DME) and End-Stage Renal Disease (ESRD) Programs
  CMS Proposes Changes to Streamline and Strengthen Medicaid and CHIP Managed Care Regulations
  CMS Finalizes Changes to Advance Innovation, Restore Focus on Patients
  Trump Administration Issues Final Rules Protecting Conscience Rights in Health Insurance
  HHS activates aid for uninsured citizens of the Commonwealth of the Northern Mariana Islands needing medicine after Super Typhoon Yutu
Other Releases
  Kaiser Health News – With Hospitalization Losing Favor, Judges Order Outpatient Mental Health Treatment
  CHCS - Helping States Support Families Caring for an Aging America
2018: October
CMS & HHS Releases
  CMS Administrator Seema Verma Statement on Drug Industry Price Transparency Announcement
  CMS Takes Action to Modernize Medicare Home Health
  CMS Responding to Suspicious Activity in Agent and Broker Exchanges Portal
  CMS Accelerates Innovation and Promotes Patient Access to Medical Technology
  HHS Secretary Azar Praises Results of President Trump’s Leadership on Drug Pricing
  HHS Secretary Azar Comments on Drug Industry Price Transparency Announcement
  ONC and OCR Bolster the Security Risk Assessment (SRA) Tool with New Features and Improved Functionality
  HHS Activates Aid for Uninsured Floridians Needing Medicine after Hurricane Michael
  HHS Announces the Official Opening of the Health Sector Cybersecurity Coordination Center
  HHS expands corporate partnership to protect against health security threats
  Readout of Secretary Azar’s Community Pharmacy and Patient Roundtable in Pittsburgh
  Important New Medicare Card Mailing Update — Wave 7 Begins, Wave 5 Ends
  HHS awards $293 million to expand primary health care workforce
  CMS Acts to Help with Typhoon Yutu Emergency Response - Agency waivers to take effect in the Northern Mariana Islands
  CMS Takes Steps to help with Hurricane Michael Emergency Response - Agency waivers to take effect in Florida
  CMS announces 2019 Medicare Parts A & B premiums and deductibles
  Remarks by Administrator Seema Verma at the America’s Health Insurance Plans (AHIP) 2018 National Conference on Medicare
  CMS Proposes to Modernize Medicare Advantage, Expand Telehealth Access for Patients
  Medicare provides continued access to high-quality health coverage choices in 2019 - CMS releases Star Ratings for 2019 Medicare Advantage and Part D prescription drug plans ahead of Medicare Open Enrollment
  HHS Secretary Azar declares public health emergency in Georgia due to Hurricane Michael
  CMS Proposes to Require Manufacturers to Disclose Drug Prices in Television Ads
  HHS Advances Payment Model to Lower Drug Costs for Patients
  HHS Secretary Azar declares public health emergency in Florida due to Hurricane Michael
  CMS Acts to help with Hurricane Michael Emergency Response - Agency waivers to take effect in Georgia
  What You Need to Know about Putting Drug Prices in TV Ads -“If we want to have a real market for drugs, why not have [companies] disclose their prices in the ads, too?
  CMS model addresses opioid misuse among expectant and new mothers
  CMS Announces Participants in New Value-Based Bundled Payment Model
  HHS awards $2.34 billion in grants to help Americans access HIV/AIDS care and medication
  Anthem Pays OCR $16 Million in Record HIPAA Settlement Following Largest U.S. Health Data Breach in History
  Statement: CMS and AARP Encourage Beneficiaries to Review Coverage this Open Enrollment
  Trump Administration announces State Relief and Empowerment Waivers to give states the flexibility to lower premiums and increase choices for their health insurance markets
  CMS to Strengthen Oversight of Medicare’s Accreditation Organizations
  Premiums on the Federally-facilitated Exchanges drop in 2019 - Administration’s actions provide some relief from skyrocketing premiums
Federal and State Health Care Reform
  Kaiser Family Foundation - With One Hand, Administration Boosts ACA Marketplaces, Weakens Them With Another
Other Releases
  ASPE – 2019 Health Plan Choice and Premiums in Healthcare.gov States
  CHCS - Serving Adults with Serious Mental Illness in the Program of All-Inclusive Care for the Elderly: Promising Practices
  ASPE – Comparison of U.S. and International Prices for Top Medicare Part B Drugs by Total Expenditures
  The Commonwealth Fund – Health Care in America – The Experience of People with Serious Illness
  The Commonwealth Fund - The Potential Implications of Work Requirements for the Insurance Coverage of Medicaid Beneficiaries: The Case of Kentucky
  Kaiser Family Foundation - What Are the Latest Trends in Medicaid? Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2018 and 2019 at a Forum with the National Association of Medicaid Directors
  ACL - Evaluation of the Effect of the Older Americans Act Title III-C Nutrition Services Program on Participants’ Health Care Utilization
  Kaiser Family Foundation - People on Medicare Will Be Able to Choose Among 24 Medicare Advantage Plans and 27 Medicare Part D Drug Plans, on Average, During the Open Enrollment Period for 2019, New Analyses Find
  Kaiser Health News - Medicare Advantage Riding High As New Insurers Flock To Sell To Seniors
  Kaiser Health News - Drugmakers Play The Patent Game To Lock In Prices, Block Competitors
  MedPAC - MedPAC comment on CMS's proposed rule on Medicare Shared Savings Program ACOs
  CHCS - Achieving Value in Medicaid Home- and Community-Based Care: Considerations for Managed Long-Term Services and Supports Programs
  CHCS– Inclusion and Exclusion Criteria for Complex Care Programs: Survey of Approaches
  CHCS - Rewarding Healthy Behaviors and Addressing Day-to-Day Needs: AccessHealth Spartanburg’s Gift-In-Kind Closet
2018: August
CMS & HHS Releases
  CMS empowers patients with more choices and takes action to lower drug prices Agency is providing flexibility through private sector tools to negotiate lower prescription drug prices on behalf of beneficiaries
  CMS Releases Formal Approach to Ensure Medicaid Demonstrations Remain Budget Neutral
2018: June
Other Releases
   ICRC - Program of All-Inclusive Care for the Elderly (PACE) Total Enrollment by State and by Organization – May 2018
2018: February
CMS & HHS Releases
  2019 Medicare Advantage and Part D Advance Notice Part II and Draft Call Letter
2017: December
Breaking News
  Happy Holidays from Resource Link®
2017: July
Upcoming Events
  Medicare Diabetes Prevention Program Model Expansion Listening Session
2016: December
Affordable Care Act (ACA)
  The Commonwealth Fund - The
  Kaiser Family Foundation – Kaiser Health Tracking Poll: The Public’s Views on the ACA
  McKnight’s - Dual-eligible ACO Model Could Be Jeopardized By Changes To Medicaid
  ICRC – Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, December 2015 to December 2016
  Kaiser Family Foundation – What’s at Stake in a Potential Repeal of the ACA Medicaid Expansion
  The Commonwealth Fund – A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013-2015
  The New York Times – Health Insurers List Demands if Affordable Care Act is Killed
  CHCS – Medicaid Accountable Care Organizations: State Update
  Kaiser Family Foundation – New State Data: ACA Marketplace Enrollees Receiving Estimated $32.8 Billion in Tax Credits, Which Would be Eliminated Under Repeal of the ACA
  The Commonwealth Fund – How Much of a Factor is the Affordable Care Act in the Declining Uninsured Rate?
  Kaiser Family Foundation – What are the Implications of Repealing the Affordable Care Act for Medicare Spending and Beneficiaries?
  CHCS - State Insights on Refining Integrated Care for Dually Eligible Beneficiaries
  Kaiser Family Foundation – After the Election, the Public Remains Sharply Divided on Future of the Affordable Care Act
CMS & HHS Releases
  Final Key Dates Calendar for 2017: QHP Certification in the Federally-facilitated Marketplaces; Rate Review; Risk Adjustment and Reinsurance
  HHS Selects Eight States for New Demonstration Program to Improve Access to High Quality Behavioral Health Services
  IFC-Conditions for Coverage for End-Stage Renal Disease Facilities
  Biweekly Enrollment Snapshot - Weeks 5 And 6, Nov 27 – Dec 10, 2016
  Timing of Submission and Posting of Rate Filing Justifications for the 2017 Filing Year for Single Risk Pool Coverage
  Advancing Care Coordination through Episode Payment Models (Cardiac and Orthopedic Bundled Payment Models) Final Rule(CMS-5519-F) and Medicare ACO Track 1 + Model
  Beneficiary Engagement and Incentives Models: Direct Decision Support Model
  Long-Term Care Hospital (LTCH) Compare Website
  Final HHS Notice of Benefit and Payment Parameters for 2018
  Evaluation of the Comprehensive Primary Care Initiative: Third Annual Report
  Beneficiary Engagement and Incentives Models: Shared Decision Making Model
  Inpatient Rehabilitation Facility (IRF) Compare Website
  CMS Finalizes Rules for the Health Insurance Marketplace, Improving Stability
  2017 Interoperability Standards Advisory Released – Key Resource for Clinicians and Developers to Enhance Flow of Electronic Information
  Medicare Outpatient Observation Notice (MOON)
  HHS Issues Final Regulation to Increase Access to Affordable Family Planning and Preventive Services
  Department of Health and Human Services Awards Over $50 Million for New Health Center Sites
  HHS Finalizes New Medicare Alternative Payment Models to Reward Better Care at Lower Cost
  Medicare-Medicaid ACO Model Joins Growing Number of State-Based Efforts to Improve Quality of Care, Lower Costs
  HHS Showcases Industry Progress in Bringing Interoperable Medication Lists to Consumers
  Medicare Health Care Quality Demonstration Announced: Meridian Health System Evaluation Reports Posted
  CMS Announces Additional Opportunities for Clinicians under the Quality Payment Program
  New Report Details Impact of the Affordable Care Act – Millions of Americans Have Gained Coverage, and Millions More Have Had Their Coverage Substantially Improved
  2018 Letter to Issuers in the Federally-facilitated Marketplaces
  Special Edition Open Enrollment Snapshot: November 1 through December Deadline for January 1 Coverage
  National Patient Safety Efforts Save 125,000 Lives and Nearly $28 Billion in Costs – New Report Shows Hospital-Acquired Conditions Continue to Decline
  CMS Releases 2015 National Health Expenditures
Community Provider News
  McKnight’s – GAO Wants Nursing Homes’ Five-Star Ratings More Consumer-Friendly, Possibly with Resident Satisfaction Info
  Long-Term Living – Home Health Pushes for More Thought on CMS Pre-Claim Policy
  McKnight’s - MedPAC Calls For Nursing Home Pay Cuts, Revised PPS, In Final Meeting Of 2016
Other Releases
  U.S. News & World Report - Some Medicare Patients See Higher Bills - A government report says Medicare beneficiaries can end up with higher hospital bills for some medical services as outpatients than as inpatients
  Health Affairs – National Health Spending: Faster Growth In 2015 As Coverage Expands And Utilization Increases
  OIG – Vulnerabilities Remain under Medicare’s 2-Midnight Hospital Policy
  The Commonwealth Fund – How High-Need Patients Experience Health Care in the United States
  CHCS – Measuring Social Determinants of Health among Medicaid Beneficiaries: Early State Lessons
  The Commonwealth Fund – Brazil’s Family Health Strategy: Using Community Health Care Workers to Provide Primary Care
  CHCS – Measuring Social Determinants of Health among Medicaid Beneficiaries: Early State Lessons
  ICRC - Program of All Inclusive Care for the Elderly (PACE) Total Enrollment by State and by Organization
  OIG – Office of Inspector General Policy Statement Regarding Gifts of Nominal Value to Medicare and Medicaid Beneficiaries
  Kaiser Family Foundation – Kaiser Health Tracking Poll: November 2016
  OIG – Early Implementation Review: CMS’ Management of the Quality Payment Program
  Kaiser Health News – Senate Approves Landmark Mental Health Bill as Part of 21st Century Cures Act
  Kaiser Family Foundation – Kaiser Health Policy News Index: 2016 in Review
  The Commonwealth Fund – Care Management Plus: Strengthening Primary Care for Patients with Multiple Chronic Conditions
  Kaiser Family Foundation – Turning the Spotlight on Medicare Advantage for 2017
  The Commonwealth Fund – Dental Care and Medicare Beneficiaries: Access Gaps, Cost Burdens, and Policy Options
Upcoming Events
  MACRA 101 Webinar Series — December 16, 20, and 21, 2016 – 12:00 – 1:00 PM Eastern Time
  MACRA Summary and the QPP Program: Considerations in Electing MIPS vs. APMs – December 19, 2016 – 3:00 – 4:30 PM Eastern Time
2016: November
Affordable Care Act (ACA)
  Kaiser Family Foundation - Payment and Delivery System Reform in Medicare: A Primer on Medical Homes, Accountable Care Organizations, and Bundled Payments
  Kaiser Health News – Obamacare ‘Replacement’ Might Look Familiar
  Kaiser Family Foundation – Health Coverage by Race and Ethnicity: Examining Changes Under the ACA and the Remaining Uninsured
  CHCS – State Medicaid Managed Long-Term Services and Supports Programs: Considerations for Contracting with Medicare Advantage Dual Eligible Special Needs Plans
CMS & HHS Releases
  Proposed Key Dates for Calendar Year 2017: QHP Certification in the Federally-facilitated Marketplaces; Rate Reviews; Risk Adjustment and Insurance
  CMS Approves Michigan Plan to Abate Lead Hazards from Flint and Other Impacted Areas in the State with Federal Support
  HHS Launches 2017 Open Enrollment, Encourages Americans to Shop for Affordable Coverage on HealthCare.gov
  2017 Medicare Parts A & B Premiums and Deductibles Announced
  Michigan Health Services Initiative
  CMS Hospital Value-Based Purchasing Program Results for Fiscal Year 2017
  CMS and Indian Health Service Expand Collaboration to Improve Health Care in Hospitals – Efforts Benefit 2.2 Million American Indians and Alaska Natives Eligible for HIS Services
  Update to the Medicare Drug Spending Dashboard
  CMS Finalizes Hospital Outpatient Prospective Payment System Changes to Better Support Hospitals and Physicians and Improve Patient Care
  Biweekly Enrollment Snapshot
  Update to the Medicare Drug Spending Dashboard
  CMS Publishes Proposed Rule on Fire Safety Requirements for Applicable Dialysis Facilities
  UMass Settles Potential HIPAA Violations Following Malware Infection
  Medicaid Drug Spending Dashboard
  Quality Payment Program Presentations Available
  HHS Announces Phase 1 Winners of the Move Health Data Forward Challenge – Proposals Designed to Help Consumers Share their Personal Health Data Easily and Securely
  CMS Launches New Online Tool to Make Quality Payment Program Easier for Clinicians
  Draft 2018 Letter to Issuers in the Federally-facilitated Marketplaces
  CMS Announces $66.1 Million to Support Zika Prevention & Treatment Services
  Final Policy, Payment, and Quality Provisions in the Medicare Physician Fee Schedule for Calendar Year (CY) 2017
  Draft Rate Review Timeline Bulletin
  Michigan Three-Way Contract Update
  Medicare Finalizes Substantial Improvements that Focus on Primary Care, Mental Health, and Diabetes Prevention – Medicare Finalizes Policies to Expand the Diabetes Prevention Model
Community Provider News
  LTC Ombudsman - ACL Updated FAQs about the Long-Term Care Ombudsman Program
  Administration for Community Living - CMS Request for Information: Federal Government Interventions To Ensure the Provision of Timely and Quality Home and Community-Based Services
  AHRQ – Nursing Home Survey on Patient Safety Culture 2016 User Comparative Database Report
  McKnight’s – Three Medicare Changes SNFs Can Expect under the New Administration
Other Releases
  CHCS – State Contracting with Medicare Advantage Dual Eligible Special Needs Plans: Issues and Options
  Modern Healthcare - CMS Funnels $140 Million More Into Medicare Primary-Care Payments
  The Commonwealth Fund - Integrating Medicaid Supplemental Payments into Value-Based Purchasing
  Kaiser Family Foundation – Visualizing Health Policy: Medicare and End-of-life Care
  Kaiser Family Foundation - Paying a Visit to the Doctor: Current Financial Protections for Medicare Patients When Receiving Physician Services
  KHN – Legislation to Improve Mental Health Care for Millions Faces Congressional Vote
  The Commonwealth Fund – In New Survey of 11 Countries, U.S. Adults Still Struggle with Access to and Affordability of Health Care
  McKnight’s – Medicare Beneficiaries Could Choose Managed Care under Premium Support Plan
Upcoming Events
  Quality Payment Program Final Rule Call – Tuesday, November 15, 2016 from 1:30 – 3:00 PM Eastern Time
  Medicare Diabetes Prevention Program Model – Expansion Call – Wednesday, November 30, 2016 from 1:30 - 3:00 PM Eastern Time
  National Partnership to Improve Dementia Care and QAPI Call – Tuesday, December 6, 2016 from 1:30 – 3:00 PM Eastern Time
2016: October
Affordable Care Act (ACA)
  ASPE – Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace
  The Commonwealth Fund – The ACA’s Cost-Sharing Reduction Plans: A Key to Affordable Health Coverage for Millions of U.S. Workers
  Kaiser Family Foundation - Medicaid Home and Community-Based Services Programs: 2013 Data Update
  Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, October 2015 to October 2016
  Avalere – Health Insurance is a Good Buy to Protect Against Significant Financial Risk for a Range of Common Health Conditions
  Kaiser Health News – Frustration Runs Deep for Customers Forced to Change Marketplace Plans Routinely
  CHCS – Delivery System Reform Incentive Payment: Mapping State Programs
  Kaiser Family Foundation - Public Ranks Drug Costs and Sufficient Provider Networks Ahead of Affordable Care Act Changes as Health Care Priorities for Next President and Congress to Address
  Kaiser Health News – How Narrow Is It? Gov’t Begins Test of Comparison Tool for Health Plan Networks
  ICRC – Data-Driven Strategies to Analyze Opt-Outs and Engage Beneficiaries and Providers in Financial Alignment Demonstrations
  CHCS – The Evolving Role of Charity Care: From Safety Net Medical Care to Enrollment Assistance to Addressing the Social Determinants of Health
  New York Times – Health Care Law’s Beneficiaries Reflect Its Strengths, and Its Faults
  Kaiser Family Foundation – Data Note: Effect of State Decisions on State Risk Scores
  Avalere – Consumers Enrolling in Exchanges through Special Enrollment Periods Have Higher Costs, Lower Risk Scores, than Open Enrollment Consumers
  The Commonwealth Fund – The Slowdown in Employer Insurance Cost Growth: Why Many Workers Still Feel the Pinch
  Kaiser Health News – Officials Warn Some Older Marketplace Customers to Switch to Medicare
  The Commonwealth Fund – Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries
  The Commonwealth Fund – ACOs Holding Commercial Contracts are Larger and More Efficient than Noncommercial ACOs
  Avalere – 2017 Open Enrollment Preview – 2017 Exchanges Struggle to Address Challenges with Enrollment, Risk Management, and Consumer Choice
  CHCS – Advancing State Innovation Model Goals through Accountable Communities for Health
  Kaiser Family Foundation - The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid
  The Commonwealth Fund - Insurance Churning Rates for Low-Income Adults Under Health Reform: Lower Than Expected But Still Harmful for Many
  Kaiser Family Foundation - 2017 Premium Changes and Insurer Participation in the Affordable Care Act’s Health Insurance Marketplaces
  American Journal of Managed Care - Connected Care: Improving Outcomes for Adults with Serious Mental Illness
  Kaiser Family Foundation - Estimates of Eligibility for ACA Coverage among the Uninsured in 2016
CMS & HHS Releases
  CMS Announces Additional Opportunities for Clinicians to Join Innovative Care Approaches Under the Quality Payment Program
  HHS Finalizes Streamlined Medicare Payment System that Rewards Clinicians for Quality Patient Care – MACRA Rule will Accelerate Health Care System’s Shift Toward Value
  CMS Announces New Initiative To Increase Clinician Engagement - First step of the initiative is to reduce medical review for certain Advanced Alternative Payment Models
  CMS Selects Quality Improvement Organization to Support Quality Improvement at Indian Health Service Hospitals
  HHS Collaborates with Innovative Companies to Encourage Marketplace Enrollment – Outreach will Boost Effort to Reach More Americans than Ever Starting November 1st
  CMS Details Outreach Campaign Strategy for Open Enrollment 2017 – Better Targeting and New Tactics will Connect with Consumers, Drive Open Enrollment Success
  2017 Star Ratings
  CMS Awards $300,000 to the Greater Flint Health Coalition to Help Reduce the Number of Uninsured Children in Flint, Michigan
  More Than 70 Percent of Consumers Can Find Marketplace Plans for Less than $75 Per Month – With Start of Window Shopping, Americans Can Now Check Out Options for 2017 Coverage
  Vermont All-Payer ACO Model Joins Growing State-Based Efforts
  CMS Releases New Date to Increase Transparency on Medicare Hospice Payments and the Third Release of the Market Saturation and Utilization Data Tool
  Participants Selected for Part D Enhanced Medication Therapy Management Model
  Hospital Compare is Updated with VA Hospital Performance Data
  Medicare and Medicaid Plans – A Technical Guide to Eligibility and Enrollment Transaction Processing
  First Half of 2016 Effectuated Enrollment Snapshot
  Medicare Advantage Value-Based Insurance Design Model
  CMS Announces Target Markets for Open Enrollment 2017 – Local Partnerships and Focused Communication will Help Drive Enrollment
  Appendix 5: Additional State-Specific Enrollment Guidance Requirements for Michigan Medicare-Medicaid plans posted
  $294 Million in Primary Care Workforce Awards Help Expand Access to Primary Care
  CMS Announces Opportunities For Clinicians To Join Innovative Care Approaches Under The Quality Payment Program
  $2.14 Million HIPAA Settlement Underscores Importance Of Managing Security Risk
  New Analysis Shows 2.5 Million Americans Currently Buying Individual Health Coverage Off-Marketplace May Be Eligible for Affordable Care Act Premium Tax Credits
  HHS FACT Sheet: Delivery System Reform: Progress and the Future
  HHS Issues Final Rule to Enhance the Reliability, Transparency, Accountability, and Safety of Certified Health Information Technology
  HHS Awards Funding to Help Protect Health Sector Against Cyber Threats
Community Provider News
  Administration for Community Living - ACL Grants Promote Inclusion and Cultural Competency Across Disability Programs
  Administration for Community Living - ACL Releases IL Final Rule
  NAHC – Training Caregivers Pays Off
  McKnight’s – Rehospitalization Measure a ‘Strong Predictor’ for Hospitals Seeking SNF Partnerships, Study Confirms
  ACL – Two New Grants to Advance Business Acumen of State and Community-Based Organizations
  Star Tribune – Using Data to Track Patients, Twin Cities Clinics Save Millions While Improving Care – Medicaid in Minnesota is Running More Efficiently Thanks to a New Project
  GAO – Skilled Nursing Facilities – CMS Should Improve Accessibility and Reliability of Expenditure Data
  The Commonwealth Fund - Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients
  McKnight’s – Future Care: The Caregiver Gap Epidemic
  McKnight’s – Education, Advocacy Key to Success Under New Quality Measures, Expert Says
  AHCA – NCQA Long-Term Services and Supports Standards Framework
Other Releases
  Kaiser Family Foundation – Spending and Utilization of EpiPen within Medicaid
  OIG – Early Alert: Incorporating Medical Device-Specific Information on Claim Forms
  OIG – Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2013 and 2014
  OIG – Investigative Advisory on Medicaid Fraud and Patient Harm Involving Personal Care Services
  The Commonwealth Fund – Risks for Nursing Home Placement and Medicaid Entry Among Older Medicare Beneficiaries with Physical or Cognitive Impairment
  OIG – Medicare’s Policies and Procedures Identified Almost All Improper Claims Submitted for Deceased Individuals and Recouped Almost All Improper Payments Made for These Claims for January 2013 Through October 2015
  National Association for Home Care & Hospice - COLA Hike Might Bring Big Medicare Premium Increases
  Kaiser Family Foundation – Medicare Drug Plan Enrollees Would Face an Average 9 Percent Premium Increase Unless They Switch Plans During Open Enrollment, New Analysis Finds
  PACE Total Enrollment by State and by Organization
  Kaiser Family Foundation – Putting Medicaid in the Larger Budget Context: An In-Depth Look at Four States in FY 2016 and FY 2017
  Kaiser Health News – Dialysis at Home? Medicare Wants More Patients to Try It
  Kaiser Family Foundation – Implementing Coverage and Payment Initiatives: Results form a 50-State Medicaid Budget Survey for State Fiscal Years 2016 and 2017
  New York Times – The Two Mysteries of Medicare
Upcoming Events
  How to Report Across 2016 Medicare Quality Programs Call – Tuesday, November 1, 2016 from 1:30 - 3:00 PM Eastern Time
  Long-Term Care Facilities: Reform of Requirements Call - Thursday, October 27, 2016 from 1:30 – 3:00 PM Eastern Time
2016: September
Affordable Care Act (ACA)
  NAIC – NAIC Testifies Before Congress on Rising Health Insurance Costs – Remer Urges Congress to Address Problems in the Affordable Care Act
  Kaiser Family Foundation – Key Facts about the Uninsured Population
  Kaiser Health News – Health Law Expanded Coverage for Ex-Inmates, But Gaps Remain
  U.S. Census Bureau – Health Insurance Coverage in the United States: 2015 – Current Population Reports
  ASPE – Affordable Care Act has Led to Historic, Widespread Increase in Health Insurance Coverage
  Kaiser Health News – Expert Panel Recommends Expansion of Services with No Cost Sharing for Women
  The Commonwealth Fund – How the ACA’s Health Insurance Expansions Have Affected Out-of-Pocket Cost-Sharing and Spending on Premiums
  McKnight’s – One in 9 Physicians Think ACOs will Help Quality and Costs, Survey Finds
  The Commonwealth Fund - Do Accountable Care Organizations (ACOs) Help or Hinder Primary Care Physicians’ Ability to Deliver High-Quality Care?
  American Journal of Preventive Medicine - States’ Influences on Medicaid Investments to Address Patients’ Social Needs
  Kaiser Family Foundation- CMS’s Denial of Proposed Changes to Medicaid Expansion in Ohio
  CHCS – Medicaid Accountable Care Organizations: State Update
  Kaiser Health News – Lack of Medicaid Expansion Hurts Rural Hospitals More than Urban Facilities
  The New York Times – U.S. Paid Insurers Funds Meant for Treasury, Auditors Say
  Kaiser Family Foundation- Proposed Changes to Medicaid Expansion in Kentucky
CMS & HHS Releases
  Administration Launches New Campaign to Enroll Young Adults During Open Enrollment – New Outreach Platforms, Better Mobile Experience, and Strong Partners will Help Reach Young Adults
  Competitive Bidding Program Continues to Maintain Access and Quality While Helping to Save Medicare Millions
  State Innovation Models (SIM) Initiative Evaluation
  EHR Contract Guide and Health Playbook Help Clinicians and Hospitals Get the Most Out of Health Information Technology
  CMS Bundled Payments for Care Improvements Initiative Models 2-4: Year 2 Evaluation & Monitoring Annual Report
  CMS Awards Consumer Assistance Funding to Support 2017 Health Insurance Marketplace Enrollment
  HIPAA Settlement Illustrates the Importance of Reviewing and Updating, as Necessary, Business Associate Agreements
  HHS Awards Over $87 Million for Health Centers’ IT Enhancement
  2017 Medicare Electronic Health Record (EHR) Incentive Program Payment Adjustment for Hospitals
  HHS Awards More than $44.5 Million to Expand the Nation’s Behavioral Health Workforce
  Every Income Group Experienced Significant and Similar Drops in Uninsured Rates Under the Affordable Care Act
  New Data Show Major Improvements in Health Care Access, Affordability, and Quality Under the Affordable Care Act – American Families Saving $3600 from Slower Growth in Employer Premiums Since 2010
  Financial Alignment Initiative Annual Report: One Care: MassHealth plus Medicare
  Medicare Advantage Premiums Remain Stable in 2017; Beneficiaries Have Saved Over $23.5 Billion on Prescription Drugs
  CMS Finalizes Improvements in Care, Safety, and Consumer Protections for Long-Term Care Facility Residents
  Accountable Health Communities (AHC) Model Track 1 - Awareness
  Transforming Clinical Practice Initiative Support and Alignment Networks 2.0 – Updated September 2016
  HHS Awards $1.5 Million to Improve Information Flow for Patients and Providers
  Next Steps for the State Innovation Models Initiative Request for Information
  CMS Awards $347 Million to Continue Progress Toward a Safer Health Care System
  Next Generation ACO Model: Frequently Asked Questions
  CMS Finalizes Rule to Bolster Emergency Preparedness of Certain Facilities Participating in Medicare and Medicaid
Community Provider News
  Crain’s Detroit - Are physicians ready for Medicare's new payment system?
  McKnight’s – CMS Surprise: New Nursing Home Survey Process to Debut in Late 2017
  OIG – HHS’s Office of Inspector General Levies Largest Penalty Under a Corporate Integrity Agreement Against Nation’s Biggest Provider of Post-Acute Care
  NAHC – Medicare Home Health Pre-claim Review Project a “Complete Mess”
  GAO – Better Information Needed on Nursing Assistants, Home Health Aides, and Other Direct Care Workers
  The Commonwealth Fund - How an Information System Can Reduce Health Risks Among the Elderly: Sweden’s Senior Alert Program
  McKnight’s – Provider Groups Call for Big Changes to Value-Based Purchasing Bill
  Avalere – What Will the Future of Home Health Look Like?
  Administration for Community Living - Final Report for the National Quality Forum’s “Measuring Home and Community-Based Services Quality” Project Now Available
  ACL – ACL Awards Over $1.1 Million in Lifespan Respite Grants
  Kaiser Health News – Study Finds Benefits When Seniors Call Shots to Help Them
  Managed Health Care Connect – Home Care Plans: Patient Input Reduces Disability and Depression
  McKnight’s – Group Urges Congress to Create ‘Overdue’ Definition of LTC Pharmacy
  NAHC – Report: Caregivers Need Help, Too
  NAHC – Ways & Means Health Subcommittee Explores Value Based Purchasing in Post-Acute Care Settings, Updates Legislation
  Modern Heatlhcare - Another Reason Hospitals Hate Medicare's Site-Neutral Payment Plans
  McKnight’s – Providers Disappointed with Final Rule’s ‘Unnecessary’ Arbitration Ban
  NAHC – Home Care Issues Front and Center at House Ways and Means Hearing
Other Releases
  AHRQ – Convening a Learning Community to Advance Medication Therapy Management for At-Risk Populations
  OIG – Medicaid Fraud Control Units Fiscal Year 2015 Annual Report
  Kaiser Family Foundation - 10 FAQs: Medicare’s Role in End-of-Life Care
  Kaiser Family Foundation - Medicare Part D Spending on the EpiPen Increased More than 1000 Percent from 2007 to 2014
  The New York Times – Failure to Improve is Still Being Used, Wrongly, to Deny Medicare Coverage
  Kaiser Family Foundation - The Medicare Part D Prescription Drug Benefit
  Medicare Advantage Plan Switching: Exception or Norm?
  Avalere – Assessing the Impact of MedPAC’s Proposed Part D Reforms to Modify Beneficiary Cost Sharing
  MedPAC – MedPAC Comment on CMS’s Proposed Rule on Episode Payment Models and the Cardiac Rehabilitation Incentive Payment Model
  OIG – Escalating Medicare Billing for Ventilators Raises Concerns
  Kaiser Family Foundation – Medicare Part D in 2016 and Trends over Time
  McKnight’s – Republican Lawmakers Accuse CMS of Focusing on Recovering, Not Preventing, Improper Payments
  The Commonwealth Fund – Better Patient Care at High-Quality Hospitals May Save Medicare Money and Bolster Episode-Based Payment Models
  OIG - Medicare Improperly Paid Millions of Dollars for Unlawfully Present Beneficiaries for 2013 and 2014
  MedPAC – MedPAC Comment on CMS’s Proposed Rule on Programs of All-Inclusive Care for the Elderly (PACE)
  Kaiser Family Foundation – Kaiser Health Tracking Poll: September 2016
  AHIP – Nearly 90% of Consumers Satisfied with Their Long-Term Care Coverage
  Modern Healthcare - GAO Finds Medicare Paying More For Drugs Than Other Agencies
  Kaiser Family Foundation - Aiming for Fewer Hospital U-Turns: The Medicare Hospital Readmission Reduction Program
  MedPAC – MedPAC Comment to CMS Regarding the Hospital Star Rating Program
  Avalere – Premium Increases for Most Popular Medicare Drug Benefit Plans, Market for Medicare Advantage Plans Appears Stable in 2017
  OIG – Spotlight On…Medicaid: State Policies that Result in Inflated Federal Costs
  OIG – CMS Should Address Medicare’s Flawed Payment System for DME Infusion Drugs
  CHCS – Considerations for a National Risk-Adjustment Model for Medicaid Managed Long-Term Services and Supports Programs
  GAO – Medicaid: Key Policy and Data Considerations for Designing a Per Capita Caps on Federal Funding
  McKnight’s - Study Casts Doubt On Future Of Value-Based Purchasing
  Kaiser Family Foundation – The Gap in Medigap
Upcoming Events
  IMPACT Act: Data Elements and Measure Development Call
  SNF Value-Based Purchasing Program Call
2016: August
Affordable Care Act (ACA)
  Avalere – What are the ACA Enrollment Figures for 2016? – Recently, Avalere Worked with the Council for Affordable Health Coverage to Examine Enrollment Trends for the Affordable Care Act (ACA)
  Kaiser Health News – Hidden Plan Exclusions May Leave Gaps in Women’s Care, Study Finds
  McKnight’s – Medicaid Expansion Improved Care for Chronic Conditions, Study Finds
  Avalere – Experts Predict Sharp Decline in Competition across the ACA Exchanges
  NAHC – Harvard Study Connects Medicaid Expansion to Improved Quality and Access to Health Care
  The New York Times - Obamacare Appears to be Making People Healthier
  Kaiser Family Foundation – A Final Look: California’s Previously Uninsured after the ACA’s Third Open Enrollment Period
  The New York Times – Cost, Not Choice, is Top Concern of Health Insurance Customers
  The Commonwealth Fund – Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance
  The Commonwealth Fund – New Commonwealth Fund Report: Latinos and People with Low Incomes Are Most Likely to Be Uninsured, Despite Significant Gains Under Affordable Care Act
  Kaiser Family Foundation – Disparities in Health and Health Care: Five Key Questions and Answers
  The Commonwealth Fund – Who Are the Remaining Uninsured and Why Haven’t They Signed Up for Coverage? – Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, February – April 2016
  Kaiser Family Foundation – Preliminary Data on Insurer Exits and Entrants in 2017 Affordable Care Act Marketplaces
  Kaiser Family Foundation – Health Plan Enrollment in the Capitated Financial Alignment Demonstrations for Dual Eligible Beneficiaries
  McKnight’s - Aetna Withdrawal Puts Spotlight Back On ACA
  Kaiser Health News – Obama Care Expansion a Bumpy Ride for Rural Health Clinics
  ASPE – The Effect of Medicaid Expansion on Marketplace Premiums
  CHCS – Coordinating Access to Services for Justice-Involved Populations
  Kaiser Family Foundation – Explaining Health Care Reform: Risk Adjustment, Reinsurance, and Risk Corridors
  The Commonwealth Fund – Women’s Health Coverage Since the ACA: Improvements for Most, But Insurer Exclusions Put Many at Risk
  ICRC – Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, August 2015 to August 2016
  Kaiser Health News – People with Obamacare Plans Filled More Prescriptions, But Had Lower Costs
  Avalere – Outpatient Services are the Largest Driver of 2017 Premium Increases – Prescription Drugs are not Outsized Contributers to Rate Increases
CMS & HHS Releases
  New Analysis Shows Consumers Will Still Have Affordable Health Coverage Optios Next Year
  HHS Awards More Than $8.6 Million for Health Centers to Improve Care Coordination and Become Patient-Centered Medical Homes
  Michigan MMPs: Release of Final Contract Year 2017 State’s Specific Marketing Guidance for Medicare-Medicaid Plans
  Frontier Community Health Integration Project (FCHIP) Demonstration
  CMS Examines Inappropriate Steering of People Eligible for Medicare or Medicaid into Marketplace Plans – Concerns Raised About Impact of 3rd Party Premium Provider & Affiliated Organization Payments
  Suggested Approaches for Strengthening and Stabilizing the Medicaid Home Care Workforce
  Medicare Announces Participants In Effort To Improve Access, Quality Of Care In Rural Areas
  Washington Financial Alignment Demonstration (HealthPath Washington)
  CMS Releases New Prescription Drug Cost Data
  $10 Million In Grants Targets Community-Based Efforts To Combat Chronic Diseases In The Delta Region
  Hospital Inpatient Perspective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Final Rule Policy and Payment Changes for Fiscal Year (FY) 2017
  CMS Proposes New Standards to Strengthen the Marketplace for 2018
  $16 Million In Funding To Improve Health Care In Rural America
  Medicare Advantage Value-Based Insurance Design Model
  CMS Announces Next Phase in Largest-Ever Initiative to Improve Primary Care in America
  Physicians and Health Care Providers Continue to Improve Quality Care, Lower Costs – Affordable Care Act Accountable Care Organization Initiatives Put Patients at the Center of their Care While Generating More than $1.
  Programs of All-Inclusive Care for the Elderly (PACE) (CMS-4168-P)
  CMS Updates Nursing Home Five-Star Quality Ratings – New Quality Measures are now Included in the Overall Calculation for Nursing Home Star Ratings
  Medicaid Expansion Lowers Marketplace Premiums by 7 Percent
  Affordable Care Act Payment Model Continues To Improve Care, Lower Costs
  Advocate Health Care Settles Potential HIPAA Penalties for $5.55 Million
Community Provider News
  NAHC – Harvard Study Shows Value of Home Care Checklist
  Managed Health Care Connect – Care Transitions – It’s not the Transition, It’s the Care
  ACL – Speeches and Testimony – Remarks by Acting Assistant Secretary for Aging and ACL Administrator Edwin Walker at the HCBS Conference
  Managed Health Care Connect – Optimistic Transition Visits: A Model to Improve Hospital to Nursing Facility Transfers
  NAHC – CMS Open Door Forum Summary
  The Commonwealth Fund - Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community
  McKnight’s – Providers Could Face Five-Star Sanctions for Late PBJ Data
  Kaiser Health News –– Geriatric ERs Reduce Stress, Medical Risks for Elderly Patients
  Kaiser Health News – Teaching In-Home Caregivers Seems to Pay Off
  The Commonwealth Fund – The Hospital at Home Model: Bringing Hospital-Level Care to the Patient
  McKnight’s – Value-Based Purchasing Demo had Little Impact on Medicare Spending, Quality: Study
  Long-Term Living – Illinois Signs Bill for Dementia Care Regulations
  Kaiser Health News – Medical Providers Try Uber, Lyft for Patients with Few Transportation Options
  ACL - $2.2 Million in ACL Grants to Enhance State Adult Protective Services Systems
  McKnight’s – Why Health Data Interoperability Matters for Long-Term Care
Other Releases
  MedPAC – MedPAC Comment on CMS’s Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2017
  ICRC – Program of All-Inclusive Care for the Elderly (PACE) Total Enrollment by State and by Organization – August 2016
  MedPAC – MedPAC Comment on CMS’s Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems
  MedPAC – MedPAC Comment on CMS’s Proposed Rule on the CY 2017 Home Health Prospective Payment System (Revised)
  The Commonwealth Fund – Improving Population Health Management Strategies: Identifying Patients Who Are More Likely to Be Users of Avoidable Costly Care and Those More Likely to Develop a New Chronic Disease
  OIG – Public Summary Report: Wireless Penetration Test of Centers for Medicare & Medicaid Services’ Data Centers
  Avalere – Medicare Part B Drug Payments Implicated in CMMI Models
  Kaiser Health News – Diagnosis: Unprepared – ‘America’s Other Drug Problem’: Copious Prescriptions for Hospitalized Elderly
  AHRQ – Convening a Learning Community to Reduce Nonurgent Use of Emergency Services
  The Center for Public Integrity – Audits Of Some Medicare Advantage Plans Reveal Pervasive Overcharging
  Kaiser Family Foundation – Similar but Not the Same: How Medicare Per Capita Spending Compares for Younger and Older Beneficiaries
  Kaiser Family Foundation – Medicaid’s Role in meeting Seniors’ Long-Term Services and Supports Needs
  Kaiser Health News – Protecting California’s Seniors From Surprise Hospital, Nursing Home Bills
  Kaiser Family Foundation – Medicare’s Role for People Under Age 65 with Disabilities
  Kaiser Health News – Medicare’s Readmission Penalties Hit New High
  The Commonwealth Fund - New Commonwealth Fund Report Profiles The 12 Million Sickest Patients; Finds Health Care System Not Meeting Their Needs
  CHCS – Managed Long-Term Services and Supports Rate-Setting Resource Center
  The Commonwealth Fund – Bringing Primary Care Home: The Medical House Call Program at MedStar Washington Hospital Center
  Kaiser Health News – Doctors Raise Concerns for Small Practices in Medicare’s New Payment System
  McKnight’s – Medicare Beneficiaries with More Continuity of Care at Lower Risk of ED Visits
  The Commonwealth Fund – Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers” in Underserved Communities
Upcoming Events
  National Partnership to Improve Dementia Care and QAPI Call – September 15
  SNF Quality Reporting Program Webcast
  Webinar: Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model Overview
  Special Open Door Forum: The IMPACT Act and Improving Care Coordination
2016: July
Affordable Care Act (ACA)
  Kaiser Health News – Montana Medicaid Expansion By-The Numbers
  ICRC – Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, July 2015 to July 2016
  The Commonwealth Fund - Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction
  CHCS - Medicaid Health Homes: Implementation Update
  The Commonwealth Fund - Rising to the Challenge: The Commonwealth Fund Scorecard on Local Health System Performance, 2016 Edition
  The Commonwealth Fund – Factors Affecting Health Insurance Enrollment Through the State Marketplaces: Observations on the ACA’s Third Open Enrollment Period
  The Commonwealth Fund – New ACA Marketplace Findings: Subsidies for Lower-Income Enrollees Make Insurance Premium and Deductible Costs Comparable to Employer Coverage
  Avalere – UPDATE: Early Analysis Finds 2017 Proposed Exchange Premiums for Low Cost Silver Plans Increasing 8 Percent on Average – Rates Vary Widely by State; Popular Low Cost Options See Smaller Increases
  The Commonwealth Fund – How Has the Affordable Care Act Affected Health Insurers’ Financial Performance?
  CHCS – The Evolution of Charity Care Programs to Support Enrollment in Health Coverage
CMS & HHS Releases
  Final Fiscal Year 2017 Payment and Policy Changes for the Medicare Hospice Benefit (CMS-1652-F)
  HHS Issues Funding Opportunities for Information Sharing and Analysis Organization for Health and Public Health Sector – Funding Will Strengthen Efforts to Combat Cyber Threats
  Medicare Announces Participants For A New Initiative To Prevent Heart Attacks And Strokes
  Final Fiscal Year 2017 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities (CMS-1647-F)
  CMS Approves Arizona’s Plan to Re-Open CHIP Program
  HRSA Awards More Than $149 Million to Grow the Nation’s Primary Care Workforce and Expand Health Professions Training
  CMS Extends, Expands Fraud-Fighting Enrollment Moratoria Efforts in Six States – New Demonstration Enhances Agency’s Enrollment and Investigative Options
  HHS Awards More Than $36 Million For Health Center Adoption Of Health Information Technology
  FFM and FF-SHOP Enrollment Manual
  2015-2025 Projections of National Health Expenditures Data Released
  Medicare Projects Relatively Stable Average Prescription Drug Premiums in 2017
  ONC Announces Phase 1 Winners of Consumer Health Data Aggregator and Provider User Experience Challenges
  Median Marketplace Deductible Only $850 – Marketplace Enrollees are in Plans with Lower Deductibles, More Covered Health Services than Commonly Understood
  Widespread HIPAA Vulnerabilities Result in $2.7 Million Settlement with Oregon Health & Science University
  HHS Announces New Actions To Combat Opioid Epidemic
  First Release of the Overall Hospital Quality Star Rating on Hospital Compare
  Medicare Proposes Substantial Improvements to Paying for Care Coordination and Planning, Primary Care, and Mental Health in Doctor Payment Rule – Medicare Also Expands the Diabetes Prevention Program
  CMS Proposes Hospital Outpatient Prospective Payment System Changes to Better Support Physicians and Improve Patient Care
  Final Fiscal Year 2017 Payment and Policy Changes for Medicare Skilled Nursing Facilities (CMS-1645-F)
  Important Next Step towards a Better, Smarter, Healthier Medicare: New Payment Models and Rewards for Better Care at Lower Cost
  Data Brief: Evaluation of National Distributions of Overall Hospital Quality Star Ratings
  CMS Finalizes Rule Giving Providers and Employers Improved Access to Information for Better Patient Care
Community Provider News
  NAHC – 2016 FMC Highlights: Value-Based Purchasing Payment Models are Here, Now What? (Part 2 of 2)
  Administration for Community Living - ACL Awards $1.2 Million in Grants to Increase Older Americans’ Access to Legal Services
  NAHC – 2016 FMC Highlights: Value-Based Purchasing Payment Models are Here, Now What? (Part 1 of 2)
  NAHC – CMS to Begin Field Testing Standardized Assessment Data Across PAC
  OIG – Adverse Events In Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries
  The Commonwealth Fund - Where the Money Goes: The Evolving Expenses of the U.S. Health Care System
  McKnight’s – HIPAA Audits Intensify with Document Requests for ‘Unlucky’ Providers
  ACL - Celebrating 51 Years of the Older Americans Act
  Avalere – Leading Stakeholders Identify Need for Tools to Manage Post-Acute Network Quality – Data Shows Gap in Care Integration Across Provider Settings Following Hospital Discharges
  ACL - Remarks by Assistant Secretary on Aging and ACL Administrator Kathy Greenlee at the n4a Answers on Aging Conference
  McKnight’s – Drug Bill with Exemptions for LTC Pharmacies Heads to Obama
Other Releases
  Kaiser Health News – Some Seniors Surprised to be Automatically Enrolled in Medicare Advantage Plans
  Kaiser Family Foundation – Turning Medicare into a Premium Support: Frequently Asked Questions
  Kaiser Health Foundation – Medicare Spending at the End of Life: A Snapshot of Beneficiaries Who Died in 2014 and the Cost of Their Care
  Kaiser Health News – Many Well-Known Hospitals Fail to Score 5 Stars in Medicare’s New Rating System
  Kaiser Health News – Fraud Concerns Emerge as Compounding Drug Sales Skyrocket
  The National Academies of Sciences, Engineering, and Medicine – Accounting for Social Risk Factors in Medicare Payment
  Medicare Rights Center – Medicare Rights Center Brings Consumer Perspective to HHS Roundtable on Bundled Payments, Praises Reforms and Stresses Need for Robust Patient Engagement Strategies
  MedPAC – June 2016 Data Book: Health Care Spending and the Medicare Program
  Kaiser Family Foundation - Essential Facts About Medicare and Prescription Drug Spending
  CHCS - The 6/18 Initiative: Accelerating Evidence Into Action - ASTHO 2016 Senior Deputies Meeting
  Kaiser Family Foundation – The Facts on Medicare Spending and Financing
  McKnight’s - 1 in 7 Alzheimer's Hospitalizations Avoidable, Study Finds
  Kaiser Health News – Study: Medicare Beneficiaries May Face ‘Treatment Gap’ for Painkiller Abuse, Misuse
  ICRC – PACE Total Enrollment by State and by Organization
  CHCS – State Trends in the Delivery of Medicaid Long-Term Services and Supports
  The New England Journal of Medicine - Caring for High-Need, High-Cost Patients — An Urgent Priority
  AHRQ – Primary Care-Based, Multidisciplinary Teams Provide Care Management Services to Complex Patients, Enhancing Patient Engagement and Reducing Hospitalizations
Upcoming Events
  IMPACT Act: Data Elements and Measure Development Call — August 31
  Long-Term Services and Supports Open Door Forum
  Medicare Diabetes Prevention Program Webinar — August 9
2016: June
Affordable Care Act (ACA)
  The Commonwealth Fund - Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries
  Kaiser Family Foundation – Trends in State Medicaid Programs: Looking Back and Looking Ahead
  AHRQ – State-Financed, Primary Care-Led, Accountable Care Collaborative Provides Comprehensive, Coordinated Care to Medicaid Beneficiaries, Reducing Admissions, Use of Imaging Services, and Costs
  The Commonwealth Fund – Looking Under the Hood of the Cadillac Tax
  ASPE – Impacts of the Affordable Care Act’s Medicaid Expansion on Insurance Coverage and Access to Care
  ASPE – The Affordable Care Act: Promoting Better Health for Women
  Kaiser Family Foundation - Key Facts on Health and Health Care by Race and Ethnicity
  Kaiser Family Foundation – The Effects of Medicaid Expansion under the ACA: Findings from a Literature Review
  Kaiser Family Foundation – ACA Coverage Expansions and Low-Income Workers
  OIG – Observations from Our Review of CMS’s Administration of the First Performance Year of the Pioneer Accountable Care Organization Payment Model
  McKnight’s – Medicare ACO Savings Plummet After First Year, Study Finds
  The Commonwealth Fund – Testimony: Consumer Experiences in the ACA Marketplaces, Marketplace Stability, and Remaining Challenges to Covering the Uninsured
  Avalere – CORRECTION: Early Analysis Finds 2017 Proposed Exchange Rates Exceed 2016 Increases But Vary Widely By State – Popular Low Cost Options See Smaller Increases
  The Commonwealth Fund – Promoting Value for Consumers: Comparing Individual Health Insurance Markets Inside and Outside the ACA’s Exchanges
  CHCS – Investing in People to Build State Medicaid Capacity
  Kaiser Family Foundation - CMS's Final Rule on Medicaid Managed Care: A Summary of Major Provisions
  The Commonwealth Fund – How Much Financial Protection do Marketplace Plans Provide in States Not Expanding Medicaid?
  Kaiser Family Foundation - Understanding Medicaid Hospital Payments and the Impact of Recent Policy Changes
  CHCS – ACAP Medicare-Medicaid Plans and the Financial Alignment Demonstrations: Innovations and Lessons
  Kaiser Family Foundation - Overview of Medicaid Per Capita Cap Proposals
  Kaiser Family Foundation – Analysis of 2017 Premium Changes and Insurer Participation in the Affordable Care Act’s Health Insurance Marketplaces
  Kaiser Family Foundation – 2016 Survey of Health Insurance Marketplace Assister Programs and Brokers
  Kaiser Family Foundation - Two Year Trends in Medicaid and CHIP Enrollment Data: Findings from the CMS Performance Indicator Project
  CHCS – Promising Practices to Integrate Physical and Mental Health Care for Medi-Cal Members
  AHRQ – County-Based Accountable Care Organization for Medicaid Enrollees Features Shared Risk, Electronic Data Sharing, and Various Improvement Initiatives, Leading to Lower Utilization and Costs
  CHCS – Promising Practices to Integrate Physical and Mental Health Care for Medi-CalMembers
CMS & HHS Releases
  CMS’ Open Payments Program Posts 2015 Financial Data
  HHS Announces Physician Groups Selected for an Initiative Promoting Better Cancer Care – HHS Oncology Care Model Attracts Almost Twice the Expected Number of Physician Group Practices
  New Members Named to Serve on Federal Health Information Technology Policy and Standards Committees
  ONC Unveils New Videos Empowering Patients to Learn Their Rights Under HIPAA – During Annual Meeting, ONC Also Announces New Patient Engagement Playbook for Providers
  March 31, 2016 Effectuated Enrollment Snapshot
  CMS Announces Proposed Payment Changes for Medicare Home Health Agencies for 2017 (CMS-1648-P)
  Moratoria Provider Services and Utilization Data Tool (Updated form February 22, 2016)
  HHS Begins Listing New Transparency Information for Certified Health Information Technology – Plain Language Disclosures, Upgraded Website to Make the Health IT Market Work Better
  Strengthening the Marketplace – Actions to Improve the Risk Pool
  CMS Proposed Updates to Policies and Payment Rates for ESRD PPS, QIP, Coverage and Payment for Acute Kidney Injury, DMEPOS Competitive Bidding Program and Fee Schedule, and Comprehensive ESRD Care Model (CMS 1651-P)
  Medicare Trustees Report Shows Continued Slow Cost Growth
  CMS Announces $22 Million in Affordable Care Act Funding for State Insurance Departments – Awards will Help States Enforce Affordable Care Act Consumer Protections
  Pre-Claim Review Demonstration of Home Health Services (CMS-6069-N)
  Adjustments to Fee Schedule Amounts for Certain DMEPOS Using Information from the Competitive Bidding Program
  Strengthening the Marketplace by Covering Young Adults – Deploying New Targeting Strategies and Partnerships to Reach Young Adults and Others Who Are Still Uninsured
  CMS Proposes Rule to Improve Health Equity and Care in Hospitals
  Medicare Makes Enhancements to the Shared Savings Program to Strengthen Incentives for Quality Care
  Financial Alignment Initiative Enrollment, Age and Health Risk Assessment as of June 2016
  HHS Announces Major Initiative to Help Small Practices Prepare for the Quality Payment Program
  CMS Announces $32 Million to Increase Number of Children with Quality, Affordable Health Coverage
  Temporary Pause of QIO Short Stay Reviews
  Proposed Changes to the Payment Error Rate and Measurement and Medicaid Eligibility Quality Control Programs in Response to the Affordable Care Act (CMS-6068-P)
  Affordable Care Act Dramatically Improved Health Insurance Coverage for People Living in Rural Areas
  Update Report on the National Partnership to Improve Dementia Care in Nursing Homes
  Medicare Will Use Private Payor Prices to Set Payment Rates for Clinical Diagnostic Laboratory Tests Starting in 2018
  Transforming Clinical Practice Initiative Support and Alignment Networks 2.0
  Nursing Home Enforcement Reports – Through December 31, 2014
Community Provider News
  McKnight’s – OIG to Tackle Skilled Nursing Payments, Avoidable Hospitalizations in FY 2016
  Long-Term Living – How Chart Audits Affect Your Reimbursement
  McKnight’s – Heightened Enforcement Environment for LTC
  HHS Nondiscrimination Rule Includes New Notice Requirements for Providers
  Managed Health Care Connect – Care Lacking for Nursing Home Residents with Diabetes
  McKnight’s - CMS Data Vision Relies On Quality, Interoperability And Standardization, Experts Note
  McKnight’s - IMPACT Act Aspects To 'Trickle Down' To Medicaid, Expert Predicts
Other Releases
  The Commonwealth Fund - Explaining Improved Use of High-Risk Medications in Medicare Between 2007 and 2011
  OIG – CMS is Taking Steps to Improve Oversight of Provider-Based Facilities, But Vulnerabilities Remain
  MedPAC – MedPAC Releases June 2016 Report on Medicare and the Health Care Delivery System
  MedPAC – Overview: Medicare Drug Spending
  MedPAC – MedPAC Comment on CMS’s Proposed Rule on the Merit-Based Incentive Payment System and Alternative Payment Models
  McKnight’s - Medicare Eligibility Ups Rehab Use Among Seniors, Study Finds
  MedPAC – Overview: The Drug Development and Supply Chain
  GAO – Medicare Fee-For-Service: Opportunities Remain to Improve Appeals Process
  Kaiser Family Foundation – Modifying Traditional Medicare’s Benefit Design Could Reduce Federal Spending But With Cost Tradeoffs Between Beneficiaries and The Federal Government
  NBC News – Feds Charge 300 in Nation’s Largest Health Care Fraud Bust
  The Daily Signal - The House Is Improving Medicare, and the Senate Can Make It Even Better
  McKnight’s – HHS Proposal Aims to Eliminate Medicare Appeals Backlog by 2021
  OIG – Nationwide Analysis of Common Characteristics in OIG Home Health Fraud Cases
  Institute for Healthcare Policy & Innovation – University of Michigan – Two Kinds of Medicare – Two Kinds of Patients? New Findings Could Make a Difference for Health Policy
  Kaiser Health News – HHS Proposes to Streamline Medicare Appeals Process
  Kaiser Family Foundation - A Study of Medicare Advantage Plan Networks in 20 Counties Finds That Plans Include About Half of All Hospitals in Their Area
  OIG – Performance Data for the Senior Medicare Patrol Projects: June 2016 Performance Report
  Modern Healthcare - Trustees' Report Says Medicare Will Be Insolvent By 2028
  Kaiser Health News – Senate Panel Kills Medicare Program that Offers Help on Enrollment, Billing Issues
2016: May
Affordable Care Act (ACA)
  Kaiser Family Foundation – Survey Finds Most Marketplace Enrollees Like Their Coverage, Though Satisfaction with Premiums and Deductibles Has Declined Since 2014
  Robert Wood Johnson Foundation – ACA Implementation – Monitoring and Tracking - Children’s Coverage Climb Continues: Uninsurance and Medicaid/CHIP Eligibility and Participation Under the ACA
  The Detroit News – Lawmakers Slow Medicaid Expansion in Flint
  Kaiser Family Foundation – Payment and Delivery System Reform in Medicare: A Primer on Medical Homes, Accountable Care Organizations, and Bundled Payments
  The Commonwealth Fund – New Commonwealth Fund Survey: Most Aca Enrollees Who Have Used Their Plans Are Getting Health Care They Previously Would Have Gone Without; Wait Times For Doctor Appointments Similar To Other In
  The Commonwealth Fund - Changes in Consumer Cost-Sharing for Health Plans Sold in the ACA's Insurance Marketplaces, 2015 to 2016
  ASPE - Impact of the ACA on Small Businesses - Testimony Before the US Senate Committee on Small Business and Entrepreneurship
  CHCS – Medicaid Health Homes: Implementation Update
  CHCS - Vermont’s Next Generation ACO Program Breaks New Ground in Medicaid
  U.S. News – Here’s What Obamacare did for Mental Health – People Gained Insurance Coverage under the Health Care Law, but Access Barriers Remain
  The Commonwealth Fund – How Will Section 1115 Medicaid Expansion Demonstrations Inform Federal Policy?
  The Commonwealth Fund – Americans’ Experiences with ACA Marketplace and Medicaid Coverage: Access to Care and Satisfaction
  Executive Insight - Alternate Payment Models
  Kaiser Family Foundation – People with HIV who Gained Health Coverage under ACA are More Comfortable Navigating Insurance Two Years Later, but Problems Persist, Others Remain Uninsured
  ICRC – Alternatives to Inpatient Psychiatric Services for Medicare-Medicaid Enrollees: A Case Study of Commonwealth Care Alliance
  AHIP – Factors Affecting Premiums in 2017 Individual Exchange Marketplace
  Kaiser Health News – Smokers’ Ranks Look Conspicuously Sparse in Obamacare
  Avalere – Early Analysis Finds 2017 Proposed Exchange Rates Exceed 2016 Increases but Vary Widely by State – Popular Low Cost Options See Smaller Increases
  Kaiser Family Foundation – What to Look for in 2017 ACA Marketplace Premium Changes
  CHCS – Medicaid ACOs: State Activity Map
  ICRC - Monthly Enrollment in Medicare-Medicaid Plans by Plan and State, May 2015 to May 2016
  The Washington Post – Obama Administration: Insurers Must Provide Services Regardless of Gender Identity
  The Commonwealth Fund – Differing Impacts of Market Concentration on Affordable Care Act Marketplace Premiums
CMS & HHS Releases
  New Survey Shows Nearly All U.S. Hospitals Using Certified Health IT to Manage Patient Care
  Special Enrollment Periods for the Health Insurance Marketplace – Special Enrollment Periods and the Consumer Operated and Oriented Plan Program
  Updates to Data Initiatives Increase Transparency of the Medicare Program – Data Serves as a Rich Resource on Part B Costs, Services, and Trends
  Statement by Secretary Burwell on the National Health Interview Survey
  HHS Awards over $260 Million to Health Centers Nationwide to Build and Renovate Facilities to Serve More Patients
  Monitoring Data Shows Adequacy of New Payment Amounts for DMEPOS in Non-Competitively Bid Areas – Results Suggest No Negative Impact on Beneficiary Access in Urban and Rural Areas
  CMS Publishes Final Rule on Fire Safety Requirements for Certain Health Care Facilities
  HHS Finalizes Rule to Improve Health Equity Under the Affordable Care Act
  Medicaid and CHIP Application, Eligibility Determination, and Enrollment Data
  HHS Announces Challenge to Redesign the Medical Bill for Patients
  Fiscal Year (FY) 2016 to FY 2017 Nursing Home Action Plan
  Medicare Advantage Value-Based Insurance Design Model Announced
Community Provider News
  GAO – Medicaid Program Integrity: Improved Guidance Needed to Better Support Efforts to Screen Managed Care Providers
  Long-Term Living – SNF Care Quality Caught in the Buy-Sell Swirl
  McKnight’s - OIG slams insufficient Medicare documentation, especially from nursing homes
  Modern Healthcare - MACRA Struggles In Evaluating Long-Term Care
  McKnight’s - Michigan House Approves Plan To Send Frail Prisoners To Nursing Homes
  Long-Term Living – New Overtime Rules Come With Hefty Price Tag
  McKnight’s – Examiners See the Churn and Corporate SNF Operators Feel the Burn
  AHRQ - Adaptation and Expansion of Existing Bundle of Inpatient Interventions Reduces Ventilator-Associated Pneumonia at Long-Term Care Facility
  McKnight’s – Cost of Private Nursing Home Rooms Grows to $7,700 per Month, Genworth Survey Shows
  McKnight’s – Experts Warn of Skilled Nursing Market Changes, Researchers Offer Strategies to Avert Havoc
Other Releases
  MedPAC – MedPAC Comment on CMS’s Post-Acute Care Quality Measures
  Kaiser Family Foundation – Medicare Advantage 2016 Spotlight: Enrollment Market Update
  Kaiser Health News – Doctors’ House Calls Saving Money for Medicare
  The Commonwealth Fund – On Medicare But At Risk: A State-Level Analysis of Beneficiaries Who Are Underinsured or Facing High Total Cost Burdens
  The Center for Public Integrity – Auditors: Feds Failed to Rein in Billions in Over-Billing by Medicare Advantage – GAO Report Follows Center Series on Massive ‘Upcoding’ in Popular Program
  MedPAC – MedPAC Comment on CMS Update to the Proposed Rates under the SNF PPS
  Modern Healthcare - Commercial Insurance Margins Offset Rising Medicare Losses
  Kaiser Family Foundation - Fading Fast: Fewer Seniors Have Retiree Health Insurance
  Kaiser Health News - Raising Medicare’s Eligibility Age Could Trigger Gov’t Savings, But Tally Higher Total Health Spending
  U.S. News & World Report - Medicare Pays Bonuses to 231 Hospitals With Lower Quality Because of Cheaper Costs
  Kaiser Health News – Medicare’s Drug-Pricing Experiment Stirs Opposition
  McKnight’s – Raising Medicare Eligibility Age may Boost Overall Healthcare Spending, Study Finds
  MedPAC – MedPAC Comment on CMS Proposed FY 2017 Update to Payment Rates for IRFs
2016: April
Affordable Care Act (ACA)
  Kaiser Family Foundation – The Pennsylvania Health Care Landscape
  The Commonwealth Fund - Preventive Care Quality of Medicare Accountable Care Organizations: Associations of Organizational Characteristics with Performance
  McKnight’s – Dual-Eligibles Demo Failing to Meet Expectations, MedPAC Says
  ICRC - Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, April 2015 to April 2016
  New England Journal of Medicine - Early Performance of Accountable Care Organizations in Medicare
  The Commonwealth Fund – Medicaid Expansion in Texas: What’s at Stake?
  CHCS - Overcoming Challenges in Caring for Dually Eligible Members
  Avalere – 2016 Exchange Plans Improve Access to Medicines Used to Treat Complex Diseases
  CHCS -Integrating Behavioral Health into Medicaid Managed Care: Lessons from State Innovators
  KHN – Study: Medicaid Expansion Encourages More Poor Adults To Get Health Care
  CHCS - State Medicaid & Public Health Collaboration to Advance the CDC's 6/18 Initiative
  The Commonwealth Fund - Quality Measures at the Interface of Behavioral Health and Primary Care
  Kaiser Family Foundation – Analysis of UnitedHealth Group’s Premiums and Participation in ACA Marketplaces
  Office of Inspector General - Opportunity for Program Improvements Related to States' Withdrawls of Federal Medicaid Funds
  KHN – Administration Says New Rules for Medicaid Plans Will Improve Services for Enrollees
  CHCS – Integrating Behavioral Health into Medicaid Managed Care: Design and Implementation Lessons from State Innovators
  ASPE – Health Coverage for Homeless and At-Risk Youth
  Medpage Today - Medicaid Plan Networks Must Meet Standards: CMS – New Agency Rule Addresses Changing Healthcare Landscape
  The Commonwealth Fund - Accountability Across the Continuum: The Participation of Postacute Care Providers in Accountable Care Organizations
  ASPE - Marketplace Premiums after Shopping, Switching, and Premium Tax Credits, 2015-2016
CMS & HHS Releases
  Proposed Fiscal Year 2017 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities (CMS-1647-P)
  Bundled Payments for Care Improvement Initiative (BPCI) (Updated from August 13, 2015)
  Proposed Fiscal Year 2017 Payment and Policy Changes for Medicare Skilled Nursing Facilities
  New Medicaid Guidance Improves Access to Health Care for Justice-Involved Americans Reentering their Communities
  CMS Proposes Updates to the Wage Index and Payment Rates for the Medicare Hospice Benefit
  Financial Alignment Initiatives Early Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Results
  CMS Launches Largest-Ever Multi-Payer Initiative to Improve Primary Care in America
  Departments Finalize New Version of the Summary of Benefits and Coverage - Helping Consumers Better Understand their Health Coverage
  Administration Takes First Step to Implement Legislation Modernizing how Medicare Pays Physicians for Quality
  Applicability of CY 2017 Final Call Letter Provisions to Medicare-Medicaid Plans
  CMS Finalizes 2017 Payment and Policy Updates for Medicare Health and Drug Plans
  Accountable Health Communities Model Updates: Frequently Asked Questions Updated
  Statement from Assistant Secretary for Aging Kathy Greenlee on Older Americans Act Reauthorization Signed into Law
  The Medicare-Medicaid Plan (MMP) Provider and Pharmacy Directory Monitoring Memo
  CMS Awards Contracts for the DMEPOS Competitive Bidding Program Round 2 Recompete and National Mail-Order Recompete
  CMS Adds New Quality Measures to Nursing Home Compare – Largest Addition of Quality Measures to Nursing Home Companies Since 2003
  CMS Releases Medicare Advantage Quality Data for Racial and Ethnic Minorities – Data is First of Annual Releases on Disparities in Medicare Advantage Plans
  HHS Issues Major Rule Modernizing Medicaid Management
  Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Proposed Rule Issues for Fiscal Year (FY) 2017
Community Provider News
  CHCS – Programs Focusing on High-Need, High-Cost Populations
  McKnight’s – Report: OIG to Tackle Adverse Events, Therapy Payments in Nursing Homes
  McKnight’s - Study: Five-Star, Consumer Rankings Agree 'Minimally' On SNF Quality
  McKnight’s – Minimal SNF Construction Forecasted through 2016, Report Says
  Long-Term Living – AHCA to Congress: Rural SNFs Need Better Technology
  McKnight’s – Managed Care Will Hit SNFs Relying on Part A Payments, Experts Say
  OIG - Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2014
  National Center on Elder Abuse – Elder Abuse Working Groups: A Review and Comparison of 15 State Working Groups
  Associated Press - New Push to Keep Seniors in Home, Community-Based Programs
  NAHC – Supreme Court Hears Arguments in Health Care Fraud Case: Broad Implications for All Health Care Providers
  Science Daily - Half Of Long-Stay Nursing Home Residents Go To Hospital ED Regardless Of Cognitive Status
  McKnight’s – Clinical Competencies Crucial to Managed Care Success, Experts Say
  AHIP – AHIP, Partners Announce New Provider Directory Initiative to Advance Solutions for Data Accuracy, Coordination with Providers
  McKnight’s – CMS Background Checks Missed Some Criminal Providers, Federal Audit Finds
Other Releases
  The Boston Globe - How Medicare Penalizes Hospitals For Being Too Careful
  Kaiser Family Foundation – An Overview of Medicare
  Kaiser Health News - Medicare Delays Plans For New Star Ratings On Hospitals After Congressional Pressure
  McKnight’s – House Lawmakers Push CMS to Collect Medicare Beneficiaries Mental Health Data
  Avalere – Programs Contributing to HHS Meeting Its Alternative Payment Model Goal Largely Consist of Upside-Only Models
  AHIP – High-Priced Drugs: Estimates of Annual Per-Patient Expenditures for 150 Specialty Medications
  Modern Healthcare - Docs Face Stark Choices Under New Medicare Pay Proposal
  Avalere – Proposed Medicare Part B Rule Would Reduce Payments to Hospitals and Some Specialists, While Increasing Payments to Primary Care Providers
  Kaiser Family Foundation - Visualizing Health Policy: Recent Trends in Prescription Drug Costs
Upcoming Events
  CMS – Long-Term Services and Supports Open Door Forum – April 26, 2016 from 2:00 pm to 3:00 pm
  CMS - Understanding the IMPACT Act-Patient and Family Focused for Informed Decision Making – May 12, 2016 from 2:00 pm to 3:00 pm
2016: March
Affordable Care Act (ACA)
  The Commonwealth Fund - Streamlining Medicaid Enrollment: The Role of the Health Insurance Marketplaces and the Impact of State Policies
  Kaiser Family Foundation - How has the ACA Medicaid Expansion Affected Providers Serving the Homeless Population: Analysis of Coverage, Revenue, and Costs
  Kaiser Family Foundation - Where Are States Today? Medicaid and CHIP Eligibility Levels for Adults, Children, and Pregnant Women
  ASPE - Benefits of Medicaid Expansion for Behavioral Health
  ASPE - Health Insurance Marketplaces 2016 Open Enrollment Period: Final Enrollment Report - For the Period: November 1, 2015 - February 1, 2016
  Kaiser Family Foundation - Medicaid Expansion Waivers: What Will We Learn?
  Avalere - Changing the Way Insurers are Paid Could Increase Stability in the Exchange Market and Beyond
  CHCS - Update on Medicare-Medicaid Integration
  Kaiser Family Foundation - Medicaid Financial Eligibility for Seniors and People with Disabilities in 2015
  CHCS - Medicaid Accountable Care Organization Learning Collaborative
  ASPE - Observations on Trends in Prescription Drug Spending
  ASPE – Health Care Spending Growth and Federal Policy
  The Commonwealth Fund - Hospitals Participating in Accountable Care Organizations Tend to Be Large and Urban, Allowing Access to Capital and Data
  Avalere - Only 33 Percent of Exchange Enrollees in 2016 Kept Their Same Plan from 2015
  ASPE - Health Insurance Coverage and the Affordable Care Act, 2010-2016
  Kaiser Family Foundation - Outreach and Enrollment Strategies for Reaching the Medicaid Eligible but Uninsured Population
  CHCS - Housing Options for High-Need Dually Eligible Individuals: Health Plan of San Mateo Pilot
  The Commonwealth Fund - How Will the Affordable Care Act's Cost-Sharing Reductions Affect Consumers' Out-of-Pocket Costs in 2016?
  Kaiser Family Foundation - Health Plan Enrollment in the Capitated Financial Alignment Demonstrations for Dual Eligible Beneficiaries
CMS & HHS Releases
  CMS Launches New Effort to Improve Care for Nursing Facility Residents – New Payment Model Test for Nursing Facility Care Aims to Reduce Avoidable Hospitalizations
  Final 2017 HHS Notice of Benefit and Payment Parameters
  Improper Disclosure of Research Participants' Protected Health Information Results in $3.9 Million in HIPAA Settlement
  Next Generation ACO Model Updated: Request for Applications and Letter of Intent Frequently Asked Questions Documents Posted
  20 Million People Have Gained Health Insurance Coverage Because of the Affordable Care Act, New Estimates Show - More than 6 Million Uninsured Young Adults Have Gained Health Insurance Coverage Since 2010
  HHS Expands Head Start in Flint
  Diabetes Prevention Program Independent Evaluation Report Summary
  Key Dates for Calendar Year 2016: QHP Certification in the Federally-Facilitated Marketplaces; Rate Review; Risk Adjustment and Reinsurance
  CMS Releases Interactive Mapping Medicare Disparities Tool
  HHS Awards $94 Million to Health Centers to Help Treat the Prescription Opioid Abuse and Heroin Epidemic in America
  Overview of Select Alternative Payment Models
  ONC Launches New Challenges to Spur Innovation for Market-Ready, User-Friendly Health Technology Apps for Consumers and Providers
  Bulletin: Timing of Submission and Posting of Rate Filing Justifications for the 2016 Filing Year for Single Risk Pool Coverage
  CMS Releases Skilled Nursing Facility Utilization and Payment Data - Data Serve as Comprehensive Resource for Information on Skilled Nursing Facility Costs and Services
  Better Care. Smarter Spending. Healthier People: Improving Quality and Paying for What Works
  HHS Announces Proposed Rule to Support the Reliability, Transparency, Accountability, and Safety of Certified Health IT - ONC Health IT Certification Program: Enhanced Oversight and Accountability Proposed Rule
  CMS Finalizes Mental Health and Substance Use Disorder Parity Rule for Medicaid and CHIP – Final Rule Strengthens Access to Mental Health and Substance Use Disorder Benefits for Low-Income Americans
  Statement from Assistant Secretary for Aging Kathy Greenlee on Senate Passage of Older Americans Act Reauthorization
  Medicare-Medicaid Coordination Office Fiscal Year 2015 Report to Congress
  Medicare Skilled Nursing Facility (SNF) Transparency Date (CY2013)
  New Report Shows Medicaid Expansion can Improve Behavioral Health Care Access
  Independent Experts Confirm that Diabetes Prevention Model Supported by the Affordable Care Act Saves Money and Improves Health
  $1.55 Million Settlement Underscores the Importance of Executing HIPAA Business Associate Agreements
  CMS Proposes to Test New Medicare Part B Prescription Drug Models to Improve Quality of Care and Deliver Better Value for Medicare Beneficiaries - Next Step to Address Access, and Innovation in Prescription Drugs
  Release of 2015 Nursing Home Data Compendium
  Final Rule Extends New Religious Liberty Protections to Beneficiaries of Federally-Funded Social Service Programs
  Diabetes Prevention Program Independent Evaluation Report Summary
  Medicare Advantage Quality Bonus Payment Model - Final Evaluation Report
  HHS Approves Major Medicaid Expansion for Flint
  2017 QHP Application
  2017 Letter to Issuers in the Federally-Facilitated Marketplaces
  Medicare Spent $473 Billion Less from 2009 through 2014 Compared to Previous Spending Trends - Affordable Care Act Continues to Deliver Better, Smarter Spending and Healthier People
  December 31, 2015 Effectuated Enrollment Snapshot
  HHS Reaches Goal of Tying 30 Percent of Medicare Payments to Quality Ahead of Schedule - A Major Milestone in the Effort to Improve Quality and Pay Providers for What Works
Community Provider News
  LeadingAge - CMS Announces 6 New Quality Measures Coming Soon to Nursing Home Compare
  LeadingAge - Nursing Homes: Prepare for Medicare Value-Based Purchasing with Improved Care Transitions
  NAHC - CDC Issues Public Health Emergency Planning Guide for LTC, Home Health and Hospice Providers
  AJMC - National Estimates of Price Variation by Site of Care
  Kaiser Health News - Doctors Ponder Delicate Talks as Medicare Pays for End-Of-Life Counsel
  CHCS - Community Care Teams - An Overview of State Approaches
  McKnight's - House Committee Advances Bill that Would Cut Medicaid Funding
  The Commonwealth Fund - Adding a Measure of Patient Self-Management Capability to Risk Assessments Can Improve Prediction of High Costs
  U.S. Census Bureau – An Aging World: 2015 – International Population Reports
  Kaiser Family Foundation - Streamlining Medicaid Home and Community-Based Services: Key Policy Questions
  Long-Term Living - CMS Pushes Interoperability for LTC
  Department of Justice – Office of Public Affairs – Department of Justice Launches 10 Regional Elder Justice Task Forces
  Kaiser Family Foundation - States and Medicaid Provider Taxes or Fees
  NAHC - Continuing Access to PS&R Depends on Annual Recertification of Your EIDM Account
  Long-Term Living - NIC Releases First Report in New SNF Data Series
  NAHC - CMS Enters Cycle 2 for Provider Enrollment Revalidations
  The Commonwealth Fund – Putting Doctors and Patients on the Same Page – When Doctors Share their Clinical Notes with Patients, it can Lead Both Parties to Change Their Behavior
Other Releases
  The Commonwealth Fund: Better Health Care: A Way Forward
  MedPAC - MedPAC Comment on CMS's Draft Quality Measure Development Plan
  Kaiser Family Foundation – Traditional Medicare…Disadvantaged?
  Avalere - More than 70 Percent of Medicare Advantage Enrollees in Plans with Four or More Stars - Percentage of Medicare Advantage Enrollees in Plans with at least Four Stars Continues to Grow
  ICRC - Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, February 2015 to February 2016
  Office of Inspector General – Hospices Inappropriately Billed Medicare Over 4250 Million for General Inpatient Care
  MedPAC - MedPAC Comments on CMS's Proposed Rule on the Medicare Shared Savings Program
  MedPAC – MedPAC Comment on CMS’s Post-Acute Care Quality Measures
  Kaiser Health News - How Medicare Drug Plans Hope to Follow Private Sector Lead
  Kaiser Family Foundation - Profile of Medicare Beneficiaries by Race and Ethnicity: A Chartpack
  NAHC - House Ways and Means Subcommittee Discusses Restructuring Medicare - Weighs Proposals to Combine Medicare Deductibles, Restructure Copays and Limit Medigap Insurance
  ASPE - Medicare Part B Drugs: Pricing and Incentives
  Fact Sheet on MedPAC's March 2016 Report to the Congress: Medicare Payment Policy
  NAHC - MedPAC Discusses Policy Principles for Potential Expansion of Telehealth in Medicare
  AHIP - AHIP's Comments on Proposed Changes to Medicare Advantage
  Center for Medicare Advocacy - Beneficiaries Across the Country Still Denied Coverage Due to Illegal Use of Improvement Standard
2016: February
Affordable Care Act (ACA)
  Avalere - Participation in Risk-Bearing Accountable Care Organizations Triples; CMS Proposes Rule on Medicare Shared Savings Program Benchmark Methodology
  CHC - Program Design Considerations for Medicaid Accountable Care Organizations
  CHCS - State Innovation Model - Resources for States
  GAO - Changes to Funding Formula Could Improve Allocation of Funds to States
  OIG - HealthCare.gov: Case Study of CMS Management of the Federal Marketplace
  Kaiser Family Foundation - Health Care Spending Among Low-Income Households with and without Medicaid
  Kaiser Family Foundation - Medicaid and Family Planning: Background and Implications of the ACA
  Kaiser Family Foundation - A Closer Look at the Remaining Uninsured Population Eligible for Medicaid and CHIP
  The Commonwealth Fund - Implementing the Affordable Care Act: Promoting Competition in the Individual Marketplaces
  Kaiser Family Foundation - Women's Health Insurance Coverage
  Kaiser Family Foundation - Payment and Delivery System Reform in Medicare: A Primer on Medical Homes, Accountable Care Organizations, and Bundled Payments
  GAO - Changes to Funding Formula Could Improve Allocation of Funds to States
  The Commonwealth Fund - The Affordable Care Act and the U.S. Economy - A Five-Year Perspective
  Long-Term Living - Fee for Value Payment Models: Preparing for Tomorrow's Reality
  LeadingAge - Perspectives on the Challenges of Financing Long-Term Services and Supports
  CHCS - An Overview of Emerging State Health Care Purchasing Trends
  CHCS - Delineating Responsibilities Across Accountable Care Organizations and Managed Care Organizations
CMS & HHS Releases
  Accountable Health Communities Model Updated: Frequently Asked Questions Posted
  The Heath Care Fraud and Abuse Control Program Protects Consumers and Taxpayers by Combating Health Care Fraud
  Webinar: Accountable Health Communities Model - State Medicaid Agency Roles
  Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-P)
  CMS and Major Commercial Plans, in Concert with Physician Groups and Other Stakeholders, Announce Alignment and Simplification of Quality Measures
  Fact Sheet - Special Enrollment Confirmation Process
  Medicare Reporting and Returning of Self-Identified Overpayments - CMS 6037-F Final Rule
  More than 10 Million People with Medicare Have Saved Over $20 Billion on Prescription Drugs Since 2010 - 39 Million Medicare Beneficiaries Utilized Free Preventative Services in 2015
  HHS Announces Major Commitments from Healthcare Industry to make Electronic Health Records Work Better for Patients and Providers
  CMS Publishes Medicare Fee-for-Service Provider & Supplier Lists - Posting of Ambulance, Home Health Utilization Data Follows Recent Provider and Supplier Moratoria Extension
  HHS Proposes Changes to the Rules Governing the Confidentiality of Substance Use Disorder Records
  The Financial Alignment Initiative Enrollment, Age and Health Risk Assessment as of February 2016
  Strengthening Provider and Supplier Enrollment Screening
  Health Insurance Marketplace Open Enrollment Snapshot - Week 13 - January 24, 2016 - February 1, 2016
  Final HHS Notice of Benefit and Payment Parameters for 2017
  CMS Proposes 2017 Payment and Policy Updates for Medicare Health and Drug Plans
  FACT SHEET: About 12.7 Million People Nationwide are Signed Up for Coverage During Open Enrollment
  CMS Finalizes Improvements for the 2017 Health Insurance Marketplace
  HHS Awards $500,000 in Funding to Flint Health Centers
Community Provider News
  McKnight's - White House Budget Includes $4 Billion Pilot to 'Streamline' LTC
  LTC Financing Collaborative - A Consensus Framework for Long-Term Care Financing Reform
  Annals of Long-Term Care - New ADA Guidelines for Diabetes Management in Long-Term Care
  Dartmouth Atlas Project - Our Parents, Ourselves: Health Care for an Aging Population
  McKnight's - Data, Culture Change Crucial to New Payment Models, Expert Says
  McKnight's - CMS Ramping Up Site Visits, Data Monitoring to Combat Medicare Fraud
  National Quality Forum - NCQ Provides Recommendations to HHS for Value-Based Purchasing Programs in Hospital, Post-Acute, and Long-Term Settings
  CDC - Long-Term Care Providers and Services Users in the United States: Data from the National Study of Long-Term Care Providers, 2013-2014
  MNT - ADA Presents Guidance on Managing Diabetes in Older Adults in Long-Term Care Facilities
Other Releases
  Kaiser Family Foundation - Searching for Savings in Medicare Drug Price Negotiations
  New York Times - Surge in Medicare Advantage Sign-Ups Confounds Expectations
  OIG - FY 2015 Health Care Fraud and Abuse Control Programs Report
  Avalere - New Analysis Finds Medicare Payments Higher for Episodes Initiated in Hospital Outpatient Departments
  Avalere - Medicare has the Potential to Avoid Preventable Illness by Encouraging Broader Coverage for Adult Vaccines
  McKnight's Medicare Costs Rise as a Hospice Stays Lengthen, WSJ Report Finds
  The Commonwealth Fund - Developing a Framework for Evaluating the Patient Engagement, Quality, and Safety of Mobile Health Applications
  Avalere - New Analysis Finds Proposed Telehealth Policy Changes Would Decrease Federal Spending by $1.8 Billion
2016: January
Affordable Care Act (ACA)
  Kaiser Family Foundation - Coverage for Abortion Services in Medicaid, Marketplace Plans and Private Plans
  CHCS - Interdisciplinary Care Teams for Medicare-Medicaid Enrollees: Considerations for States
  Kaiser Family Foundation - Medicaid Expansion Spending and Enrollment in Context: An Early Look at CMS Claims Data for 2014
  ASPE - Health Insurance Marketplace 2016: Average Premiums after Advance Premium Tax Credits in the 38 States Using the Healthcare.gov Eligibility and Enrollment Platform - For the Period: November 1 - December 26, 2015
  CHCS - Communicating Early Results of Integrated Care Efforts for Dually Eligible Individuals: State Approaches
  Kaiser Family Foundation - Medicaid Expansion in Michigan
  CHCS - Developing Capitation Rates for Medicaid Managed Long-Term Services and Supports Programs: State Considerations
  AARP Public Policy Institute - Insight on the Issues - Monitoring the Impact of Health Reform on Americans ages 50-64: Access to Health Care Improved
  ASPE - Health Insurance Marketplaces 2016 Open Enrollment Period: January Report - For the Period: November 1 - December 26, 2015
  CHCS - Accountable Care Organizations: Looking Back and Moving Forward
  McKnight's - Dual Eligible Pilots Proving Pricey, Time-Consuming for States
  Kaiser Health News - Feds Funding Effort to Tie Medical Services to Social Needs
  The Commonwealth Fund - Both the 'Private Option' and Traditional Medicaid Expansions Improved Access to Care for Low-Income Adults
  Kaiser Family Foundation - New Estimates of Eligibility for ACA Coverage Among the Uninsured
  GAO - Medicare and Medicaid: Additional Oversight Needed of CMS's Demonstration to Coordinate the Care of Dual-Eligible Beneficiaries
  MedPAC - January 2016 MedPAC and MACPAC Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
  Avalere - Proposed Exchange Standardized Benefit Designs Expand First-Dollar Coverage for Services and Drugs
  Kaiser Family Foundation - Marketplace Health Plan Options for People with HIV Under the ACA: An Approach to More Comprehensive Cost Assessment
  Kaiser Family Foundation - Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2016: Findings from a 50-State Survey
  Kaiser Family Foundation - Health Coverage and Care for Immigrants
  CHCS - Medicaid Health Homes: Implementation Update
CMS & HHS Releases
  New Proposal to Give Providers and Employers Access to Information to Drive Quality and Patient Care Improvement
  Health Insurance Marketplace Open Enrollment Snapshot - Week 11 - January 10, 2016 - January 16, 2016
  Accountable Health Communities (AHC) Model Fact Sheet
  CMS Announces Proposed Improvements to Medicare Shared Savings Program - Plan Strengthens Incentives for ACOs to Improve Performance
  Health Insurance Marketplace Open Enrollment Snapshot - Week 12 - January 17, 2016 - January 23, 2016
  First Ever CMS Innovation Center Pilot Project to Test Improving Patients' Health by Addressing their Social Needs - $157 Million in Funding will Bridge Clinical Care with Social Services
  CMS Releases First Ever Home Health Patient Experience of Care Star Ratings - Comparison Ratings that Help Patients Compare and Choose Among Home Health Agencies
  CMS Releases Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries
  Accountable Health Communities Model - Frequently Asked Questions
  CMS Welcomes New Medicare Shared Savings Program (Shared Savings Program) Participants
  Eight in 10 Marketplace Customers in HealthCare.gov States Qualify for a Tax Credit with an Average Value of Nearly $300 per Month - People who Reenrolled Saved $43 per Month on Average by Shopping and Switching Plans
  Health Insurance Marketplace Open Enrollment Snapshot - Week 10 - January 3, 2016 - January 9, 2016
  Covered Outpatient Drugs Final Rule with Comment (CMS-2345-FC) - Fact Sheet
  Next Generation Accountable Care Organization Model (NGACO Model)
  CMS Finalizes ACA Rule to Save Taxpayers Billions by Improving Medicaid Prescription Drug Rebates and Reimbursements
  Health Insurance Marketplace Open Enrollment Snapshot - Week 9 - December 27, 2015 - January 2, 2016
Community Provider News
  Crain's Detroit Business - The Federation to Prepare 6 Michigan Nonprofit Systems for New World of At-Risk Managed Care Contracting
  McKnight's - Using Telemedicine to Improve SNF Clinical Outcomes
  Pride Source - Aging Study: Current LGBT Practices in Long-Term Care Facilities Lacking
  ASPE Issue Brief - Community Health Workers: Roles and Opportunities in Health Care Delivery System Reform
  Long-Term Living - JAMDA Study IDs Readmission Spike
  McKnight's - Nursing Home Occupancy, Absorption Rates Dip Further
  OIG - National Background Check Program for Long Term Care Employees: Interim Report
  McKnight's - New Guidelines Hone in on Pre- and Post-Surgery for Seniors
Other Releases
  The Commonwealth Fund - How High Need Patients Experience the Health Care System in Nine Countries
  The Commonwealth Fund - Using Behavioral Economics to Design Physician Incentives that Deliver High-Value Care
  MedPAC - The Medicare Advantage Program: Status Report
  Kaiser Family Foundation - Kaiser Health Tracking Poll: January 2016
  The New York Times - Medicare is Changing: What
  Avalere - Nearly 60 Percent of New Medicare Advantage Plans are Sponsored by Healthcare Providers
  The New York Times - Medicare is Changing: What's New for Beneficiaries
  Avalere - Federal Government Underpays Medicare Advantage Plans for Enrollees with Multiple Diseases
2015: December
Affordable Care Act (ACA)
  The Commonwealth Fund - Why are Many CO-OPs Failing? How New Nonprofit Health Plans Have Responded to Market Competition
  The Commonwealth Fund - Aiming Higher: Results form a Scorecard on State Health System Performance, 2015 Edition
  Kaiser Family Foundation - Medicaid Premium Assistance Programs: What Information is Available About Benefit and Cost-Sharing Wrap-Around Coverage?
  Kaiser Family Foundation - Financial and Administrative Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS
  CHCS - Snapshots of Integrated Care Models to Serve Dually Eligible Beneficiaries
  ICRC - Medicare Chronic Care Management Services Payment: Implications for States Serving Dually Eligible Individuals
  Kaiser Family Foundation - States with Section 1115 ACA Expansion Waivers, December 2015
  Kaiser Family Foundation - Medicaid and Long-Term Services and Supports: A Primer
  MDHHS - Michigan Announces the MI Health Link Ombudsman Program
  The Commonwealth Fund - Rethinking the Affordable Care Act's "Cadillac Tax": A More Equitable Way to Encourage "Chevy" Consumption
  National Health Policy Reform - Accountable Care Organizations in Medicaid: Learning from Leading-Edge States
  Kaiser Health News - State Obamacare Exchanges 'Sustainable' Without Federal Aid, Official Tells Congress
  Kaiser Family Foundation - Health Center Patient Trends, Enrollment Activities, and Service Capacity: Recent Experiences in Medicaid Expansion and Non-Expansion States
  Kaiser Family Foundation - Kaiser Health Tracking Poll: December 2015
  NAHC - Urban Institute Study Advances Analysis of Federal Long-Term Care Program Models
  Kaiser Family Foundation - Average Individual Mandate Penalty to Rise 47 Percent to $969 in 2016 for Uninsured People Eligible for ACA Plans
  Kaiser Family Foundation - One in 10 Larger Nonprofits Have Sought an 'Accommodation' to the ACA Contraceptive Coverage Rule, Analysis Finds
CMS & HHS Releases
  Medicare Drug Spending Dashboard - Fact Sheet
  Medicare-Medicaid Plan (MMP) Advisory Committee Stipends and Non-Monetary Incentives
  HHS Partners with LGBT Organizations to Promote Open Enrollment Activities during LGBT Week of Action
  Medicare Fee-for-Service Utilization and Payment Data Available for Home Health Agencies - Data Serves as Comprehensive Resource for Information on Home Health Agencies Costs and Services
  FACT SHEET: HHS and Treasury Issue Additional Guidance on 1332 Waivers
  Health Insurance Marketplace Open Enrollment Snapshot - Week 6: December 6, 2015 - December 12, 2015
  Health Insurance Marketplace Open Enrollment Snapshot - Week 4 - November 22 - November 28, 2015
  Draft 2017 Letter to Issuers in the Federally-facilitated Marketplaces
  Health Insurance Marketplace Open Enrollment Snapshot - Week 8 - December 20 - December 26, 2015
  New Consumer Decision Support Features Now Available at HealthCare.gov
  HHS Collaborating with National Grocery and Retail Stores to Promote Open Enrollment
  CMS Releases 2014 National Health Expenditures - Aggregate Health Expenditures Increase as Millions Gain Coverage and Prescription Drug Costs Increase
  CMS Finalizes Rule Creating Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies Items
  Medicare-Medicaid Capitated Financial Alignment Model Quality Withholding
  Revised CY 2015 Core Reporting Requirements for Medicare-Medicaid Plans
  National Patient Safety Efforts to Save 87,000 Lives and Nearly $20 Billion in Costs - Report Shows Hospital-Acquired Conditions Decline by 17 Percent Over a Four-Year Period
  Health Insurance Marketplace Open Enrollment Snapshot - Week 7 - December 13 - December 19, 2015
  Fiscal Year (FY) 2016 Results for the CMS Hospital-Acquired Conditions (HAC) Reduction Program
  HHS Collaborating with National Grocery and Retail Stores to Promote Open Enrollement
  September 30, 2015 Effectuated Enrollment Snapshot
  CMS Expands Quality Data on Physician Compare and Hospital Compare to Help Consumers Choose Health Care Providers - Updates Provide More Quality Metrics for Health Care Professionals and Group Practices
  $750,000 HIPAA Settlement Underscores the Need for Organization-Wide Risk Analysis
  Stipends or Non-Monetary Incentives for MMP Enrollees Who Are MMP Advisory Committee Members
  Open Enrollment Trends: Selected HealthCare.gov Statistics Prior to the January 1, 2016 Coverage Deadline, December 22, 2015
  HHS Partners with More than 20 Faith Organizations to Promote Enrollment in the Health Insurance Marketplace
  Health Insurance Marketplace Open Enrollment Snapshot - Week 5 - November 29 - December 5
Community Provider News
  McKnight's - What Can You Do to Achieve a Five-Star Rating?
  The New York Times - Rising Obesity Rates Put Strain on Nursing Homes
  Kaiser Health News - Medicare Penalizes 758 Hospitals for Safety Incidents
  NAHC - NAHC's Medicaid Action Council to Governors: Support Nurses and Caregivers Who Support Individuals Covered by Medicaid
  Bloomberg BNA - Medicare's Hospital Quality Efforts Saving Lives and Money: HHS
  GAO - Nursing Home Quality - CMS Should Continue to Improve Data and Oversight
  GAO - Medicare: Increasing Hospital-Physician Consolidation Highlights Need for Payment Reform
  McKnight's - Supreme Court will Review what Counts as 'False' Under the False Claims Act
Other Releases
  The Commonwealth Fund - Primary Care Physicians in Ten Countries Report Challenges Caring for Patients with Complex Health Needs
  Kaiser Family Foundation - Medicare Advantage 2016 Data Spotlight: Overview of Plan Changes
  U.S. News & World Report - Medicare Takes For-Profit Partner
  CHCS - Assessing Success in Medicare-Medicaid Integration: A Review of Measurement Strategies
  Kaiser Family Foundation - New Interactive Profiles Women's Health in Each State
  Kaiser Family Foundation - Although a Small Share of Medicare Part D Enrollees Take Specialty Drugs, A New Analysis Finds Those Who Do Can Face Thousands of Dollars in Out-of-Pocket Drug Costs
  Modern Healthcare - CMS to Launch RACs for Medicare Advantage
  The Commonwealth Fund - Policy Options to Expand Medicare's Low-Income Provisions to Improve Access and Affordability
  The Washington Times - Medicare Unveiling Online Tool to Analyze Costly Drugs
2015: November
Affordable Care Act (ACA)
  GAO - Medicaid: Improving Transparency and Accountability of Supplemental Payments and State Financing Methods
  Kaiser Family Foundation - Patient Cost-Sharing Subsidies in Marketplace Plans, 2016
  Women's Health Issues Journal - Women, Private Health Insurance, and the Affordable Care Act
  Kaiser Family Foundation - Cost-Sharing Subsidies in Federal Marketplace Plans, 2016
  AHIP - New Census Survey Shows Continued Growth in HSA Enrollment
  The Commonwealth Fund - How High is America's Health Care Cost Burden? Findings from the Commonwealth Fund Health Care Affordability Tracking Survey, July - August 2015
  AHIP - 2015 Census of Health Savings Account - High Deductible Health Plans - November 2015
  Kaiser Health News - Consumer Confusion Continues in Obamacare's Third Year
  The Commonwealth Fund - Evaluating the Impact of the Health Insurance Industry Consolidation: Learning from Experience
  ASPE - ASPE Research Brief - November 2015 - Community Action Agency Activities in Affordable Care Act Outreach and Enrollment: Insights from Case Studies
  Kaiser Family Foundation - State Demonstration Proposals to Integrate Care and Align Financing and/or Administration for Dual Eligibles
  CNBC - Obamacare Act lll: HealthCare.gov Sign-Ups Top 500K
  Kaiser Health News - Marketplace Plans Covering Out-Of-Network Care Harder To Find
  Kaiser Family Foundation - State Demonstration Proposals to Integrate and Align Financing and/or Administration for Dual Eligible Beneficiaries
  Kaiser Family Foundation - Visualizing Health Policy: Experiences and Attitudes of Primary Care Practitioners After the ACA
  Kaiser Family Foundation - Analysis of Insurer Participation in 2016 Marketplaces
  Kaiser Family Foundation - The Uninsured: A Primer - Key Facts About Health Insurance and the Uninsured in the Era of Health Reform
CMS & HHS Releases
  Part D Enhanced Medication Therapy Management Tool
  Health Insurance Marketplace Open Enrollment Snapshot Week 3: November 15 - November 21, 2015
  Health Insurance Marketplace Open Enrollment Snapshot - Week 1: November 1 - November 7, 2015
  2016 FFM Web-broker List
  HealthCare.gov Pilots New Doctor Lookup Feature
  Initial Phase in of Adjustments to Fee Schedule Amounts for Certain DMEPOS Using Information from the Competitive Bidding Program
  CMS and New York State Partner to Coordinate Care for Medicare-Medicaid Enrollees with Intellectual and Developmental Disabilities
  Medicare Part D Overutilization Monitoring System (OMS) Summary
  Patient Protection and Affordable Care Act; HHS Notice of Benefits and Payment Parameters for 2017
  Health Insurance Marketplace Open Enrollment Snapshot - Week 2: November 8 - November 14, 2015
  New Medicare Part D Opioid Drug Mapping Tool Available - Interactive Online Mapping Tool Allows Public to Search Medicare Part D Opioid Prescription Claims Data at the State, County, and ZIP Code Levels
  CMS Proposes Improvements for the 2017 Marketplace
  CMS Finalizes Bundled Payment Initiative for Hip and Knee Replacements - Model Supports Quality and Care Improvements for Patients' Transition from Surgery to Recovery
  Risk Corridors Payment and Charge Amounts for Benefit Year 2014
  Triple-S Management Corporation Settles HHS Charges by Agreeing to $3.5 Million HIPAA Settlement
  CMS Announces $32 Million to Help Get Eligible Children Enrolled in Health Coverage - Medicaid and CHIP Continue to Drive Down Uninsurance Among Children
  2016 Medicare Parts A & B Premiums and Deductibles Announced
  Health Care Law Results in $2.4 Billion in Consumer Rebates on Premiums Since 2011
  Focused Dementia Care Survey Tools
  Medicare A/B Payment to Medicare-Medicaid Plans Participating in the Financial Alignment Initiative for Contract Year 2016
  2016 Medicare Part B Premiums State-by-State Savings
  HIPAA Settlement Reinforces Lessons for Users of Medical Devices
  Medicare Advantage Value-Based Insurance Design Model
Community Provider News
  The Commonwealth Fund - Improving Care for Those Who Need It Most
  McKnight's - Budget Bill Includes CMP Increase
  Long-Term Living - Repurposing an Old Tool to Yield New Insights About Quality of Care
  Long-Term Living - Study: More Insurance Options Can Improve Long-Term Services and Supports
  McKnight's - HIPAA Being Cited Incorrectly, Expert Warns
Other Releases
  OIG - OIG's FY 2015 Top Management and Performance Challenges Facing the Department of Health and Human Services
  CBS News - Medicare to Pay for End-of-Life Counseling for Terminally Ill
  MedPAC - MedPAC Comment on CMS's Proposed Changes to the CMS-HCC Risk Adjustment Model for Payment Year 2017
  Kaiser Family Foundation - Primary Care Physicians Accepting Medicare: A Snapshot
  Kaiser Family Foundation - What's in Store for Medicare's Part B Premiums and Deductible in 2016, and Why?
  CNBC - A Disease on Track to Bankrupt Medicare
  Kaiser Family Foundation - The Latest Trends in Income, Assets, and Personal Health Care Spending Among People on Medicare
  Long-Term Living - Office of Inspector General Plans to Crack Down on Fraud and Cut Costs
  MedPAC - MedPAC Comment on CMS's Development of Discharge to Community and Potentially Preventable Readmission Measures
  Kaiser Family Foundation - 10 FAQs: Medicare's Role in End-of-Life Care
  AHRQ - 2014 National Healthcare Quality and Disparities Report
2015: October
Affordable Care Act (ACA)
  Modern Healthcare - Medicare ACOs Get Final Waivers For Stark, Kickback Laws
  Kaiser Family Foundation - Key Facts about the Uninsured Population
  The New York Times: Obama Administration Campaign Will Publicize Health Care Subsidies
  Kaiser Family Foundation - Estimates of Eligibility for ACA Coverage Among the Uninsured by Race and Ethnicity
  CHCS - Update on Medicare-Medicaid Integration
  Kaiser Family Foundation - Analysis of 2016 Premium Changes in the Affordable Care Act's Health Insurance Marketplaces
  Kaiser Family Foundation - Analysis of 2016 Premium Changes in the Affordable Care Act's Health Insurance Marketplaces
  Kaiser Family Foundation - The Impact of the Coverage Gap for Adults in States not Expanding Medicaid by Race and Ethnicity
  Avalere - New Analysis Finds Tiered and Narrow Insurance Network Products are Increasing in US Health Insurance Markets
  The Commonwealth Fund - A Difference-in-Difference Analysis of Changes in Quality, Utilization and Cost Following the Colorado Multi-Payer Patient-Centered Medical Home Pilot
  Kaiser Family Foundation - Nearly Half of the Uninsured, or 15.7 Million People, Are Eligible for Medicaid or Subsidized Affordable Care Act Coverage, Analysis Finds
  Kaiser Health News - Are Medicare ACO's Working? Experts Disagree
  Kaiser Family Foundation - The Affordable Care Act Drove Record Annual Increases in Enrollment and Total Medicaid Spending Nationally in FY 2015, As Newly Eligible Adults Gained Coverage in Expansion States
CMS & HHS Releases
  CMS Announces Payment Changes for Medicare Home Health Agencies for 2016
  FACT SHEET: Improving the Consumer Experience at HealthCare.gov
  HHS Awards Up to $22.9 Million in Planning Grants for Certified Community Behavioral Health Clinics - Funding Supports Planning Efforts to Certify Community Behavioral Health Clinics in States Across the Nation
  Risk Corridors Payment Proration Rate for 2014
  CMS Updates Policies and Payment Rates for End-Stage Renal Disease for CY 2016 and Changes to the ESRD Quality Incentive Program - Finalized Payment System
  10 Million People Expected to Have Marketplace Coverage at End of 2016 - HHS Aims to Sign Up More Than 1 Out of Every 4 Uninsured Consumers Eligible for Coverage
  The Three Rs: An Overview
  ICD-10 Transition Moved Forward
  Discharge Planning Proposed Rule Focuses on Patient Preferences
  HHS Awards More Than $240 Million to Expand the Primary Care Workforce and Connect Health Care Professionals to Undeserved Communities
  CMS Launches New ACO Dialysis Model - Affordable Care Act Model Designed to Improve Care for Beneficiaries with Kidney Failure While Reducing Costs
  CMS Strengthens Access to Essential Health Services for Medicaid Beneficiaries
  Switching Plans Resulted in Significant Savings for Marketplace Consumers - Full-Year Enrollees Saved Nearly $400 on Premiums after Tax Credits for the Same Level of Coverage in 2015
  New Medicare Utilization and Payment Data Available for Medical Equipment, Supplies - Data Serves as Comprehensive Resource for Information on Durable Medical Equipment Costs and Services
  HHS Publishes a Roadmap to Advance Health Information Sharing and Transform Care - ONC Issues Interoperability Roadmap Defining Critical Actions to Enable a Learning Health System
  Michigan MMPs: Revision to Final Contract Year 2016 Marketing Guidance
  Consumers will Continue to Find Affordable Options in the Health Insurance Marketplace in 2016
  Medicare Advantage Value-Based Insurance Design Model
  Basic Health Program Funding Methodology Proposed Notice Fact Sheet
  HHS Issues Rules to Advance Electronic Health Records with Added Simplicity and Flexibility - Public Comment Period Offers Forum to Gather Additional Feedback and Inform Future Policies
  CMS Finalizes 2016 Medicare Payment Rule for Physicians, Hospitals & Other Providers
  2016 Marketplace Affordability Snapshot
  HHS Secretary Burwell Announces New Members of Advisory Council on Alzheimer's Research, Care, and Services
  CMS Fact Sheet: EHR Incentive Programs in 2015 and Beyond
  Michigan MMPs: Release of Final Contract Year 2016 Marketing Guidance for Medicare-Medicaid Plans
  Fiscal Year (FY) 2016 Results for the CMS Hospital Value-Based Purchasing Program
  Financial Alignment Initiative Enrollment, Age and Health Risk Assessment as of October 2015 Posted
  The Medicare-Medicaid Plan (MMP) Enrollment Technical Guidance Version 2.4 Posted
Community Provider News
  NAHC - NAHC Survey on the Role of Non-Physician Practitioners in Home Care: Preliminary Results - Survey Results Strongly Support Advocacy Efforts for Legislation Allowing NPPs to Certify Home Health Plans of Care
  JAMDA - Hospitalization and Mortality Rates in Long-Term Care Facilities: Does For-Profit Status Matter?
  McKnight's - Final 60-day Overpayment Rule Moves to OMB
  The Commonwealth Fund - Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis
  ACL - ACL "No Wrong Door" System Grants Help Streamline Access to Services and Supports
  Modern Healthcare - CMS' Proposed Discharge Changes Would Hit Home Health Agencies
  Long-Term Living - Mastering the New SNF Regs to Maximize Reimbursement
  Annals of Long-Term Care - LTC GPS: Admission Criteria for Facility-Based Post-Acute Services
  Kaiser Family Foundation - Medicaid's Role for People with Dementia
Other Releases
  Kaiser Health News - No Ready-Made Rx For Rising Drug Costs
  New York Times - Congress and Obama Administration Seek Ways to Limit Increase in Medicare Premiums
  MedPAC - MedPAC Announces the Release of the Updated 2015 Medicare Payment Basics Series
  Kaiser Family Foundation - Medicare Part D at Ten Years: The 2015 Marketplace and Key Trends, 2006-2015
  New York Times - No Social Security Raises Even if Medicare Soars
  Kaiser Family Foundation - 10 FAQs: Medicare's Role in End-of-Life Care
  USA Today - Budget Proposal Could Mean No 52% Jump in Medicare Part B Premiums
  Kaiser Family Foundation - Medicare Open Enrollment Preview
  AHIP - New Report: Medigap Continues Strong Enrollment Growth Among Seniors
  Kaiser Family Foundation - What's In and What's Out? Medicare Advantage Market Entries and Exits for 2016
  CBS News - Health Care Costs for Dementia Soar at the End of Life
  Kaiser Family Foundation - Medicare Advantage and Traditional Medicare: Is the Balance Tipping?
  NPR - Seniors Tend To Quit Medicare Advantage When Health Declines
  U.S. News & World Report - Medicare Part D Changes Coming in 2016
  Modern Healthcare - Medicare Advantage Star Ratings May Change To Address Fairness Complaints
  Kaiser Family Foundation - Medicare's Drug Benefit is Firmly Established After Its First Decade, With Flat Premiums in Recent Years but Higher Cost-Sharing Over Time
2015: September
Affordable Care Act (ACA)
  The Commonwealth Fund - The Experiences of State-Run Marketplaces That Use HealthCare.gov
  Kaiser Family Foundation - Financial and Administrative Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS
  ICRC - Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, September 2014 to September 2015
  Yahoo News - An Obamacare Change to Medicare is Backfiring
  ICRC - Engaging Providers in Integrated Care Programs for Medicare-Medicaid Enrollees: Tips for States
  Kaiser Health News - Medicare Yet to Save Money Through Herald Medical Payment Model
  Kaiser Family Foundation - Kaiser Health Tracking Poll: The Public's Views on the ACA
  McKnight's - Regulators Call for ACA Small Group Revision
  The Center for Public Integrity - White House Wants More Aggressive Effort On Medicare, Medicaid Billing Errors
  The Commonwealth Fund - Are Marketplace Plans Affordable? Consumer Perspectives from the Commonwealth Fund Affordable Care Act Tracking Survey, March - May 2015
  Kaiser Family Foundation - Analysis of 2016 Premium Charges in the Affordable Care Act's Health Insurance Marketplaces
  The Detroit News - State Submits Waiver Request for Expanded Medicaid
  The Commonwealth Fund - To Enroll or Not to Enroll? Why Many Americans Have Gained Insurance Under the Affordable Care Act While Others Have Not
  Politico - House Obamacare Lawsuit Can Move Ahead in Part
  Kaiser Family Foundation - Economic and Fiscal Trends in Expansion and Non-Expansion States: What We Know Leading Up to 2014
  Kaiser Family Foundation - Serving Low-Income Seniors Where They Live: Medicaid's Role in Providing Community-Based Long-Term Services and Supports
  The Commonwealth Fund - Innovations in Diabetes Care Around the World: Case Studies Transformation Through Accountable Care Reforms
  Kaiser Family Foundation - Preventative Services Tracker
CMS & HHS Releases
  CMS Awards $110 Million in Affordable Care Act Funding to Continue Improvements in Patient Safety - Hospital Engagement Networks Will Continue Patient Safety Improvement Efforts in Hospitals
  HHS Awards Nearly $500 Million in Affordable Care Act Funding to Health Centers to Expand Primary Care Services
  $750,000 HIPAA Settlement Emphasizes the Importance of Risk Analysis and Device and Media Control Policies
  CMS Proposes New Medicare Clinical Diagnostic Laboratory Tests Fee Schedule - Proposed Initiative Would Begin Data Collection Process to Set New Payment Rates
  CY 2016 MMP Explanation of Benefits (EOB) templates (Drug-only and Integrated) Posted
  CMS Announces Value-Based Insurance Design Model to Improve Care and Reduce Costs in Medicare Advantage Plans
  Secretary Burwell Previews Third Open Enrollment - New Analysis Shows 17.6 Million Have Gained Coverage as Affordable Care Act Provisions Have Taken Effect
  2016 Physician Quality Reporting System (PQRS) Payment Adjustment
  Medicare Advantage Premiums Remain Stable; Enrollment at All-Time High - Seniors and People with Disabilities Will Have Continued Access to a Wide Range of Medicare Health and Drug Plans in 2016
  US Surgeon General Launches Campaign with National Call to Action on Walking - Effort Highlights Health Benefits of Walking While Addressing Barriers to Access
  Fact Sheet: Moving Medicare Advantage and Part D Forward
  June 30, 2015 Effectuated Enrollment Snapshot
  HHS Announces $685 Million to Support Clinicians Delivering High Quality, Patient-Centered Care
  CMS Releases First Ever Plan to Address Health Equity in Medicare
  CMS Announces Part D Enhanced Medication Therapy Management Model - Model's Goal is to Improve Care, Reduce Costs in Medicare
  HHS Takes Next Step in Advancing Health Equity Through the Affordable Care Act
  CMS Awards $67 Million in Affordable Care Act Funding to Help Consumers Sign-Up for Affordable Health Insurance Marketplace Coverage in 2016
Community Provider News
  McKnight's - Study: Fall Prevention Programs Cut Costs
  Reuters - How Medicare's 'Chronic Care Management' Payments Could Affect Primary Care
  The Commonwealth Fund - How Strong is the Primary Care Safety Net? Assessing the Ability of Federally Qualified Health Centers to Serve as Patient-Centered Medical Homes
  OIG - The Medicare Payment System for Skilled Nursing Facilities Needs to Be Reevaluated
  Health Policy Institute - Addressing the Health Needs of an Aging America - New Oppotunities for Evidence-Based Policy Solutions
  Annals of Long-Term Care - ICD-10: Why and What Matters to Long-Term Care Providers
  McKnight's - MedPAC Begins Work on Post-Acute Pay Prototype
  McKnight's - CMS Reopens Comment Period on LTC Regulation Overhaul
Other Releases
  GAO - Medicare: Considerations for Expansion of the Appropriate Use Criteria Program
  Kaiser Family Foundation - Kaiser Health Tracking Poll: September 2015
  GAO - Medicare Advantage: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy
  Avalere - Pressures Mounting for Medicare Drug Benefit - Market for Medicare Advantage Plans Appears Stable in 2016
  The Wall Street Journal - How House Calls Can Cut Medical Costs - For Infirm Older Patients, Medicare Finds that Personal Visits Can Keep People Out of the Hospital
  MedPAC - MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B
  Kaiser Family Foundation - Income and Assets of Medicare Beneficiaries, 2014 - 2030
2015: August
Affordable Care Act (ACA)
  Kaiser Family Foundation - A Look at the Private Option in Arkansas
  Kaiser Family Foundation - How Many Employers Could Be Affected by the Cadillac Plan Tax?
  The Commonwealth Fund - Lessons from the Small Business Health Options Program: The SHOP Experience in California and Colorado
  Kaiser Family Foundation - Most Say They Can Afford Their Prescription Drugs, But One in Four Say Paying is Difficult, Including More Than Four in Ten People Who Are Sick
  National Business Group on Health - Health Care Benefits Cost Increases to Hold Steady in 2016, National Business Group on Health Survey Finds
  Kaiser Family Foundation - 2015 Survey of Health Insurance Marketplace Assister Programs and Brokers
  The Detroit News - Enrollment Up in Mich. Medicaid HMOs, Individual Plans
  ICRC - Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, July 2014 to July 2015
  McKnight's - Senate Approves PACE Expansion Bill
  Providers Terminated from One State Medicaid Program Continued Participating in Other States
  Kaiser Family Foundation - Dual Eligible Demonstrations: The Beneficiary Perspective
  Kaiser Family Foundation - State Medicaid Eligibility Policies for Individuals Moving Into and Out of Incarceration
  The Commonwealth Fund - Comparing Individual Health Coverage On and Off the Affordable Care Act's Insurance Exchanges
CMS & HHS Releases
  Final CY 2016 MMP Marketing Guidance for Michigan Medicare-Medicaid Plans
  CMS Announces Timeline for Medicare DMEPOS Competitive Bidding - Bidder Education Program Begins
  CMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents-Payment Model
  During National Health Week, HHS Announces an Additional $169 Million in Affordable Care Act Funding to 266 Community Health Centers
  CMS to Extend Initiative to Improve Care for Nursing Facility Residents - Funding Would Allow Testing of New Payment Model for Nursing Facility Care
  HHS and DOJ Issue Technical Assistance for Child Welfare Systems Under the Americans with Disabilities Act and Section 504 of the Rehabilitation Act
  Pioneer ACO Model Announced: Financial and Quality Results for Performance Year Three Posted
  Preliminary Risk Corridors Program Results
  Medicare ACOs Continue to Improve Quality of Care, Generate Shared Savings
  Bundled Payments for Care Improvement Initiative (BPCI) Fact Sheet - Updated for August 2015
  Comprehensive Care for Joint Replacement Model
  2015 Special Enrollment Period - February 23 - June 30, 2015
  CMS Announces Additional Participants in Pilot Project to Improve Care and Reduce Costs for Medicare - Over 2,100 Participants in Performance Period of Bundled Payments for Care Improvement Initiative
Community Provider News
  Kaiser Health News - A Racial Gap in Attitudes Toward Hospice Care
  Long-Term Living - Report: Antipsychotic Drug Use in Nursing Homes Drops
  Avalere - Providers Rush to Assume Medicare Risk under Bundled Payment Program
  Long-Term Living - MDS Assessment Accuracy and Quality Outcome Success
  NAHC - NAHC Lawsuit Challenging the Medicare Face-to-Face Rule Presented in Court
  HealthITAnalytics - Final ICD-10 End-to-End Testing Week Sees 87% Success Rate
  M Live - Michigan Hospices Test Medicare Model Allowing Patients To Get 'Curative' Care
  The Commonwealth Fund - Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment - Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers
  Modern Healthcare - NLRB Ruling Could Shake Up Healthcare Staffing Industry
  The National Long-Term Care Ombudsman Resource Center - New Resources from the Consumer Voice for Consumers and Advocates on Nursing Home Transitions
  Kaiser Family Foundation - Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 Through 2014
  The Wall Street Journal - How Medicare Rewards Copious Nursing-Home Therapy - Medicare Pays Top Dollars for Patients in Heavy Rehab; The Pivotal 720-Minute Mark
  ASPE - Predictors of Job Satisfaction and Intent to Leave Among Home Health Workers: An Analysis of the National Home Health Aide Survey
  Aging & Adult Services Agency - State Releases Elder Abuse Prevention Request for Proposal
Other Releases
  The Commonwealth Fund - Competition Among Medicare's Private Health Plans: Does It Really Exist?
  The Washington Post - Medicare Reconsiders Rule That Leaves Dying Patients Facing a Stark Choice
  MDHHS - State of Michigan Launches Aging Website
  McKnight's - Obama Signs NOTICE Act Into Law
  MedPAC - MedPAC Comments on CMS's Proposed Rule on the Comprehensive Care for Joint Replacement Payment Model for Acute Care Hospitals
  Health Affairs - Health Policy Briefs - Medicare's Hospital-Acquired Condition Reduction Program
  The Wall Street Journal - Drug-Industry Rule Would Raise Medicare Costs - Congressional Budget Office Estimates $1.3 Billion Increase in Federal Health-Care Costs Over a Decade
  Kaiser Health News - Medicare Says Doctors Should Get Paid To Discuss End-Of-Life Issues
  Office of Inspector General - Overlap Between Physician-Owned Hospitals and Physician-Owned Distributors
  MedPAC - MedPAC Comments on CMS's Proposed Rule on the Hospital Outpatient and Ambulatory Surgical Center Payment Systems
2015: July
Affordable Care Act (ACA)
  ASPE Issue Brief - Competition and Choice in the Health Insurance Marketplaces, 2014-2015: Impact on Premiums
  Kaiser Family Foundation - Nearly 355,000 Dual Eligible Beneficiaries Are Enrolled in Capitated Financial Alignment Demonstrations in 9 States, as of June 2015
  Kaiser Family Foundation - Proposed Rule on Medicaid Manged Care: A Summary of Major Provisions
  Kaiser Family Foundation - Medicaid and Family Planning: Background and Implications of the ACA
  Kaiser Family Foundation - Round 2 on the Legal Challenges to Contraceptive Coverage: Are Nonprofits
  Kaiser Family Foundation - Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender Individuals in the U.S.
  McKnight's - Skilled Nursing, CCRC Spending Being Driven to New Heights - Moderately: Report
CMS & HHS Releases
  Competition and Choice in the Health Insurance Marketplace Lowered Premiums in 2015
  Medicaid & CHIP: May 2015 Monthly Applications, Eligibility Determinations and Enrollment Report
  Update on Health Care and the 2014 Tax Season
  HHS Targets Funding, Programs to Help Older People Reduce the Risk of Falling
  CMS and AMA Announce Efforts to Help Providers Get Ready For ICD-10
  HHS Increases Access to Substance Use Disorder Treatment - New Funding and Guidance will Help States Combat Opioid Use Disorder
  The Financial Alignment Extension Opportunity Memorandum
  Administration Issues Final Rules on Coverage of Certain Recommended Preventative Services Without Cost Sharing - Final Rules Secure Women's Access to Contraceptive Services While Respecting Religious Beliefs
  CMS Announces New Initiative To Promote Value-Based Home Health Care
  Medicare Trustees Report Shows Continued Slow Cost Growth
  Decision Memorandum and Revised Scope of Benefit National Coverage Determination for Speech Generating Devices
  Comprehensive Care for Joint Replacement
  Home Health Compare Quality of Patient Care Star Ratings
  FY 2016 Hospice Payment Rate Update - CMS Finalizes Updates to the Wage Index and Payment Rates for the Medicare Hospice Benefit for FY 2016 (CMS-1629-F)
  Medicare Prescription Drug Premiums Projected to Remain Stable
  CY 2016 Medicare-Medicaid Plan (MMP) Member Handbook (Chapter 9), Appeal Denial Notice, Late Coverage Decision Notice and Integrated Denial Notice Templates for MI
  CMS Cutting-Edge Technology Identifies & Prevents $820 Million in Improper Medicare Payments in First Three Years
  Final Fiscal Year 2016 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities (CMS-1624-F)
  More Than $38 Million Awarded to Improve Coordinated Health Information Sharing in Communities Across America
  CMS Announces Medicare Care Choice Model Awards - Model Aims to Increase Choice and Quality by Enabling Individuals to Receive Palliative and Curative Care Concurrently
  HHS Proposes to Improve Care and Safety for Nursing Home Residents - Revisions Mark First Major Rewrite of Long-Term Care Conditions of Participation Since 1991
  Fiscal Year 2016 Final Inpatient and Long-Term Care Hospital Policy and Payment Changes (CMS-1632-F)
  2014-2024 Projections of National Health Data Released
  Financial Alignment Initiative Enrollment, Age and Health Risk Assessment as of July 15
  Aging in 2015: HHS and the White House Conference on Aging
  Final FY 2016 Medicare Payment and Policy Changes for Inpatient Psychiatric Facilities
  On its 50th Anniversary, More Than 55 Million Americans Covered by Medicare - New Medicare State by State Enrollment Numbers
  Statement from Assistant Secretary for Aging Kathy Greenlee on Senate Passage of Older Americans Act Reauthorization
  White House Conference on Aging: Combating Alzheimer's and Other Dementias
  CMS Begins Implementation of Key Payment Legislation
Community Provider News
  Alliance for Health Reform - Long-Term Services and Supports: Changes and Challenges in Financing and Delivery
  Kaiser Health News - New Regulations Would Require Modernizing Nursing Home Care
  Department of Justice - Office of Public Affairs - Detroit-Area Home Health Care Agency Owners Convicted in $33 Million Medicare Fraud Scheme
  OIG - Performance Data for the Senior Medicare Patrol Projects: July 2015 Performance Report
Other Releases
  Medicare To Cover End-Of-Life Counseling
  Alzheimer's Association - New Analysis Shows More Than 28 Million Baby Boomers Will Develop Alzheimer's Disease; Will Consume Nearly 25% of Medicare Spending
  MedPAC - Data Book: Health Care Spending and the Medicare Program
  The Commonwealth Fund - Modernizing Medicare's Benefit Design and Low-Income Subsidies to Ensure Access and Affordability
  OIG - Medicare Part B Overpaid Millions for Selected Outpatient Drugs
  Kaiser Family Foundation - Medicare and Medicaid at 50
  Forbes - Aetna's $37B Humana Deal Expands Role In Medicare's Value-Based Care Push
  Commonwealth Fund - Serving Older Adults with Complex Care Needs: A New Benefit Option for Medicare
  Kaiser Family Foundation - Data Note: Medicare Advantage Enrollment, by Firm, 2015
  MedPAC - June 2015 - A Data Book - Health Care Spending and the Medicare Program
  Commonwealth Fund - Quality-Spending Interactive - See the Relationship Between Medicare Quality and Spending in Your State or Local Area
  McKnight's - Alzheimer's Misdiagnoses Running Up Big Medicare Bills
  Commonwealth Fund - Predictable Unpredictability: The Problem with Basing Medicare Policy on Long-Term Financial Forecasting
  Kaiser Family Foundation - The Facts on Medicare Spending and Financing
  MedPAC - Hospital Policy Issues
  Kaiser Family Foundation - Proposed Rule on Medicaid Managed Care: A Summary of Major Provisions
  Kaiser Family Foundation - To Switch or Be Switched: Examining Changes in Drug Plan Enrollment Among Medicare Part D Low-Income Subsidy Enrollees
2015: June
Affordable Care Act (ACA)
  Kaiser Family Foundation - Experiences and Attitudes of Primary Care Providers Under the First Year of ACA Coverage Expansion
  Kaiser Family Foundation - Medicaid Delivery System and Payment Reform: A Guide to Key Terms and Concepts
  Kaiser Family Foundation - The ACA and People with HIV: Profiles from the Field
  The Commonwealth Fund - The Affordable Care Act and Medicare - How the Law is Changing the Program and the Challenges that Remain
  ASPE - Outreach and Enrollment for LGBT Individuals: Promising Practices form the Field
  The Commonwealth Fund - Large Majority of Affordable Care Act Coverage Enrollees are Satisfied with Their Insurance, People Using Plans are Getting Care They Could Not Have Afforded Before
  Avalere Health - The Future Cost of Innovation: An Analysis of the Impact of Breakthrough Therapies on Government Spending
  The Detroit News - Nearly 294K Mich. Consumers Get Health Plans
  Kaiser Family Foundation - How Does Gaining Coverage Affect People's Lives? Access, Utilization, and Financial Security Among Newly Insured Adults
  The Commonwealth Fund - Americans' Experiences with Marketplace and Medicaid Coverage - Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, March - May 2015
  Executive Office of the President of the United States - Missed Opportunities: The Consequences of State Decisions Not to Expand Medicaid
  Kaiser Family Foundation - Early Insights from Commonwealth Coordinated Care: Virginia's Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
  CHCS - Getting Providers on Board to Improve Care for California’s Medicare-Medicaid Enrollees
  Kaiser Family Foundation - Analysis of 2016 Premium Changes and Insurer Participation in the Affordable Care Act's Health Insurance Marketplaces
  Kaiser Family Foundation - Medicaid Balancing Incentive Program: A Survey of Participating States
  Commonwealth Fund - Effects of a Medical Home and Shared Savings Intervention on Quality and Utilization of Care
  The Commonwealth Fund - How Insurers Competed in the Affordable Care Act's First Year
  Kaiser Family Foundation - Updated for 2015: Tool Displays By Locality the Share of Potential ACA Federal Marketplace Enrolleess that Signed Up
  Kaiser Family Foundation - How Have Insurers Fared Under the Affordable Care Act?
  The Commonwealth Fund - Does Medicaid Make a Difference? - Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2014
  Kaiser Family Foundation - New Analysis Details Impact on Residents in Different States if the U.S. Supreme Court Rules for Challengers in King v. Burwell
  ICRC - Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, June 2014 to June 2015 - Technical Assistance Tool
CMS & HHS Releases
  National Medicare Fraud Takedown Results in Charges Against 243 Individuals for Approximately $712 Million in False Billing - Most Defendants Charged and Largest Alleged Loss Amount in Strike Force History
  Comprehensive Prevention Program Effectively Reduces Falls Among Older People - HHS-Supported Study Tests Fall Intervention Program
  Updated CY 2015 Medicare-Medicaid Plan (MMP) Integrated Denial, Appeal Denial Notice and Late Coverage Decision Notice Models
  CMS Bulletin on Proposed Out-Of-Pocket (OOP) Cost Comparison Tool for the Federally-facilitated Marketplaces (FFMs)
  March 31, 2015 Effectuated Enrollment Snapshot
  CMS Continues To Implement The Premium Stabilization Programs
  CMS Finalizes Rules for Medicare Shared Savings Program - Continued Growth in ACO Program is a Core Component of Delivery System Reform
  CMS Announces Entrepreneurs and Innovators to Access Medicare Data
  CMS’ Open Payments Posts Full Year Of 2014 Financial Data
  Affordable Care Act Payment Model Saves More Than $25 Million in First Performance Year - Independence at Home Practices Succeed in Improving Care, Lowering Costs
  Medicaid/CHIP Provider Fingerprint-Based Criminal Background Check
  Statement by HHS Secretary Sylvia M. Burwell on the Affordable Care Act
  Administration Increases Transparency for Consumers Shopping for Health Insurance Coverage - Final Rules are Designed to Improve Consumers' Access to Important Plan Information
  New Medicare Data Available to Increase Transparency on Hospital and Physician Utilization - Data Serves as a Rich Resource to Clearer Look into Parts A and B Costs, Services, and Trends
  Accountable Care Organization (ACO) Investment Model
  HHS Launches GIS-Based Tool for Health Disaster Readiness - Unique Interactive Map Helps Meet Needs of People with Electricity-Dependent Medical Equipment
  Medicare-Medicaid Capitated Financial Alignment Model Reporting Requirements: Michigan-Specific Reporting Requirements
  Medicare and Medicaid 50th Anniversary Count Down
Community Provider News
  USA Today - Mental Health Spending Up, New Medicare Data Shows
  McKnight's - Experts Say Full Staff Engagement, Training Crucial to Improve Dementia Care
Other Releases
  McKnight's - Lawmakers Ask for CMS Fraud Review
  Kaiser Family Foundation - Poll Finds Nearly Three Quarters of Americans Say Prescription Drug Costs are Unreasonable, and Most Blame Drug Makers Rather Than Insurers for the Problem
  MedPAC - MedPAC Releases June 2015 Report on Medicare and the Health Care Delivery System
  Avalere Health - Lack of Quality Measures for Cancers and Other Serious Diseases Limits Medicare's Ability to Pay for Value
  Kaiser Family Foundation - Poverty Among Seniors: An Updated Analysis of National and State Level Poverty Rates Under the Official and Supplemental Poverty Measures
  Kaiser Family Foundation - Medicare Advantage Enrollment Continues to Climb, but Financial Protections for Enrollees Are Eroding
  MedPAC - MedPAC Comment on CMS's Proposed Rule on the Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System
  Kaiser Family Foundation - Medicare's Income-Related Premiums: A Data Note
  Kaiser Family Foundation - Medicare Advantage 2015 Spotlight: Enrollment Market Update
  EurekAlert - Study Finds High Medicare Advantage Copays for Hospital, Nursing Care
  The Fiscal Times - Medicare Advantage Fraud: Heat on Justice Dept. to Investigate
  The Commonwealth Fund - Medicare Payment Reform: Aligning Incentives for Better Care
  Kaiser Family Foundation - 10 FAQs: Medicare's Role in End-of-Life-Care
  MedPAC - MedPAC Comment on CMS's Proposed Rule on the Hospice Wage Index and Payment Rate Update and Hospice Quality Report Requirements
2015: May
Affordable Care Act (ACA)
  Kaiser Family Foundation - Coverage Expansions and the Remaining Uninsured: A Look at California During Year One of ACA Implementation
  Kaiser Family Foundation - Early Insights from One Care: Massachusetts' Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
  The Commonwealth Fund - Realizing Health Reform's Potential - Medicaid Benefit Designs for Newly Eligible Adults: State Approaches
  The Wall Street Journal - Health Insurers Seek Hefty Rate Boosts
  Kaiser Family Foundation - Survey of Non-Group Health Insurance Enrollees, Wave 2
  Commonwealth Fund - The Problem of Underinsurance and How Rising Deductibles Will Make It Worse - Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2014
  Politico - Skyrocketing Medicaid Signups Stir Obamacare Fights - Some GOP Governors are Saying
  The Commonwealth Fund - Realizing Health Reform's Potential - Implementing the Affordable Care Act State Regulation of Marketplace Plan Provider Networks
  Health Affairs - Medicaid Primary Care Parity. For 2013 and 2014, the Federal Government Raised Payment Rates to Medicaid Primary Care Providers. Only Some States Plan to Extend the Rate Increase
  Kaiser Health News - Paying Medicaid Enrollees To Get Checkups, Quit Smoking and Lose Weight: Will It Pay Off?
  Kaiser Family - Early Insights from Ohio's Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
  The Commonwealth Fund - Medicaid Benefit Designs for Newly Eligible Adults: State Approaches
  Kaiser Family Foundation - Interactive: A State-by-State Look at How the Uninsured Fare Under the ACA
  ASPE Data Point - The Affordable Care Act is Improving Access to Preventative Services for Millions of Americans
  The Commonwealth Fund - Realizing Health Reform's Potential - The Affordable Care Act's Payment and Delivery System Reforms: A Progress Report at Five Years
  Modern Healthcare - Will Medicare and Medicaid Predict ACA's Future?
CMS & HHS Releases
  Memo to Long Term Care Facilities On Disenrollment Issues
  OIG - Incorrect Place-of-Service Claims Resulted in Potential Medicare Overpayments Costing Millions
  Some Observations Related to the Generic Drug Market
  HHS Announces $101 Million in Affordable Care Act Funding to 164 New Community Health Centers
  About 137 Million Individuals with Private Insurance are Guaranteed Access to Free Preventive Services
  Affordable Care Act Payment Model Saves More Than $384 Million in Two Years, Meets Criteria for First-Ever Expansion - Pioneer ACO Model Advances Quality and Value in Health Care
  New Affordable Care Act Payment Model Seeks to Reduce Cardiovascular Disease
  CMS Proposes Rule to Strengthen Managed Care for Medicaid and CHIP Enrollees - Proposal Will Modernize and Improve Quality of Care for Medicaid and CHIP Enrollees
  CMS Issues Rule Modifying the Part D Enrollment Requirements for Prescribers
  HHS Awards $112 Million to Help 5,000 Primary Care Professionals Advance Heart Health
Community Provider News
  Kaiser Family Foundation - Reading the Stars: Nursing Home Quality Star Ratings, Nationally and by State
  OIG - Home Health Agencies Conducted Background Checks of Varying Types
  Long-Term Living - Experts See Two Futures for Assisted Living
  NAHC - Senators Rally Support for Legislation to Allow NPs and PAs to Certify Medicare Home Health Plans of Care
  GAO - Advance Directives - Information on Federal Oversight, Provider Implementation, and Prevalence
  Crain's Detroit Business - Southeast Michigan Physician Pleads Guilty to $4.2 Million Medicare Fraud
  The Commonwealth Fund - Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
  NCAL - Quality Initiative for Assisted Living Renewed for Three Years - Professional Crusade Reaffirms Providers' Commitment to Residents, Staff
  ASPE Issue Brief - Medicare's Hospice Benefit: Revising the Payment System to Better Reflect Visit Intensity
  MedPAC - Comments on CMS's Skilled Nursing Facilities: Prospective Payment System, Value Based Purchased and Quality Reporting Proposed Rule
  McKnight's - Nursing Homes Blamed for High Opt-Out Rate in Dual Eligible Demo
Other Releases
  GAO - Report to Congressional Requesters - Medicaid - Additional Actions to Help Improve Provider and Beneficiary Fraud Controls
  MedPAC - Improving Care for Medicare Beneficiaries with Chronic Conditions
  MedPAC - MedPAC Comment on CMS's Proposed Rule on the Inpatient Psychiatric Facility Prospective Payment System
  MedPAC - Report to the Congress: Overview of the 340B Drug Pricing Program
  MedPAC - MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility Prospective Payment System
  U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 But Did Not Comply for Fiscal Year 2014
  MedPAC - Hospital Short-Stay Policy Issues
  The Detroit News - Patient's Don't Have to Trade Treatment for Comfort
  NAHC - Assume On-Demand, In-Home Services as the New Standard
  GAO - Medicaid: A Small Share of Enrollees Consistently Accounted for a Large Share of Expenditures
  Kaiser Family Foundation - Corruption and Global Health: Summary of a Policy Roundtable
2015: April
Affordable Care Act (ACA)
  Kaiser Family - Data Note: How Has the Individual Insurance Market Grown Under the Affordable Care Act?
  Oliver Wyman - ACO Update: A Slower Pace of Growth in 2014
  AHIP - Covered Populations and Premiums
  Kaiser Family Foundation - Demonstrations to Improve the Coordination of Medicare and Medicaid for Dually Eligible Beneficiaries: What Prior Experience Did Health Plans and States Have with Capitated Arrangements?
  Kaiser Family Foundation - How Are Hospitals Faring Under the Affordable Care Act? Early Experiences from Ascension Health
  Kaiser Family Foundation - Kaiser Health Tracking Poll: April 2015
  Kaiser Family Foundation - The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid
  CHCS - Exploring the Feasibility of Including Medicare-Medicaid Enrollees in Medicaid Accountable Care Organizations
  Kaiser Family Foundation - Coverage of Contraceptive Services: A Review of Health Insurance Plans in Five States
  The Commonwealth Fund - Health Care Coverage and Access in the Nation's Four Largest States
  Kaiser Family Foundation - Where Are States Today? Medicaid and CHIP Eligibility Levels for Adults, Children, and Pregnant Women
CMS & HHS Releases
  New Instructions for Providers Filing an Appeal with the Department Appeals Board (DAB)
  Meaningful Use “MU” Aligning Stage 1 and 2 with Stage 3 (CMS 3311P)
  CMS Proposes Mental Health Parity Rule for Medicaid and CHIP
  2016 Hospice NPRM CMS-1629-P - CMS Updates to the Wage Index and Payment Rates for the Medicare Hospice Benefit
  Proposed FY 2016 Medicare Payment and Policy Changes for Inpatient Psychiatric Facilities
  Estimated Financial Effects on the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2)
  Applicability of Final Call Letter Provisions to Medicare-Medicaid Plans
  Financial CY 2016 Medicare-Medicaid Plan Provider and Pharmacy Directory National Model Template
  Proposed Fiscal Year 2016 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities (CMS-1264-P)
  Implementation of Section 6106 of the Affordable Care Act - Collection of Staffing Data for Long Term Care Facilities
  CMS Releases First Ever Hospital Compare Star Ratings - Comparison Ratings that Help Consumers Compare and Choose Among Hospitals
  Participation Continues to Rise in Medicare Physician Quality Reporting System and Electronic Prescribing Incentive Program
  Applicability of Final Call Letter Provisions to Medicare-Medicaid Plans
  Proposed Fiscal Year 2016 Payment and Policy Changes for Medicare Skilled Nursing Facilities
  10 Days to Take Advantage of Tax Season Special Enrollment Period
  CMS Announces Opportunity to Apply for Navigator Grants in Federally-facilitated and State Partnership Marketplaces
  Fifteen Days Remain Before Tax Filing Deadline
  Evaluation of the Medicare Advantage (MA) Quality Bonus Demonstration
  Medicare Spending Growth Since 2009
  CMS Finalizes 2016 Payment and Policy Updates for Medicare Health and Drug Plans
  Fiscal Year 2016 Proposed Inpatient and Long-Term Care Hospital Policy and Payment Changes (CMS-1632-P)
  Plan Selections by Zip Code in the Health Insurance Marketplace
  Online Tools and Resources Available to Help States Use Health IT to Improve Health Care Quality and Lower Cost
  New Medicare Prescription Drug Cost Data Available - Data Serves as a Rich Resource for Clearer Look into Part D Costs and Services
Community Provider News
  JAMA - Measuring Vital Signs - An IOM Report on Core Metrics for Health and Health Care Progress
  McKnight's - Sebelius: Future Payments to Operators will Increase Target Care, Accountability and Savings
  The Commonwealth Fund - Michigan's Fee-For-Value Physician Incentive Program Reduces Spending and Improves Quality in Primary Care
  McKnight's - Reinventing Rehab
  Long-Term Living - Congress Addresses Post-Acute Care Payment Reform
Other Releases
  OIG - Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin
  Kaiser Family Foundation - Medigap Enrollment Among New Medicare Beneficiaries
  The Commonwealth Fund - Medicare: 50 Years of Ensuring Coverage and Care
  OIG - Review of Medicare Contractor Information Security Programs Evaluations for Fiscal Year 2013
  Reuters - Special Report: Banned from Medicare, Still Billing Medicaid
  McKnight's - Social Security Numbers To Be Removed From Medicare Beneficiary Cards
  Forbes - AARP's New Evidence That Medicare's Hospital Observation Rules Are a Mess
  MedPAC - Star Rating Systems for Medicare Home Health Agencies
  MedPAC - Medicare Post-Acute Care Reforms
  McKnight's - MedPAC Mulls Plan to Stop Covering Some
  AHIP - New Report: Medigap Remains Vital Coverage for Rural, Low-Income Seniors
  Quality Improvement Organizations - 2014 QIO Program Progress Report
Upcoming Events
  
2015: March
Affordable Care Act (ACA)
  The Commonwealth Fund - Testimony: The Affordable Care Act at Five Years
  Kaiser Family Foundation - Awaiting New Medicaid Managed Care Rules: Key Issues to Watch
  McKnight's - New Medicare ACO to be Unveiled Soon
  The Commonwealth Fund - New Report: More Than $5 Billion In Total Consumer Benefits From Affordable Care Act’s Medical Loss Ratio Provision
  McKnight's - Controversial Medicare Auditors Group Changes Name, Website
  CHCS – Medicaid Accountable Care Organizations: State Update
  CHCS - Health Reform's Impact on Charity Care
  Kaiser Family Foundation - Consumer Assets and Patient Cost Sharing
  Crain’s Detroit Business - Many Michigan ACOs Saving Millions Under Medicare's Cost-saving Plan
  CHCS - Population Health in Medicaid Delivery System Reforms
CMS & HHS Releases
  HHS Announces Proposed Rules to Support the Path to Nationwide Interoperability - Electronic Health Record Incentive Programs and 2015 Edition Health IT Certification Criteria Rules Proposed
  Affordable Care Act Initiative Builds on Success of ACOs - New Generation ACO Model Sets Stronger Measures and More Opportunities for Care
  The Health Care Fraud and Abuse Control Program Protects Consumers and Taxpayers by Combating Health Care Fraud
  Department of Health and Human Services - Office of Inspector General - Medicare Could Have Saved Billions at Critical Access Hospitals
  Michigan’s MI Health Link Demonstration – Frequently Asked Questions
  Health Insurance Coverage and the Affordable Care Act
  Medicare-Medicaid Coordination Office Fiscal Year 2014 Report to Congress
  Departments of Justice and Health and Human Services Announce Over $27.8 Billion in Returns from Joint Efforts to Combat Health Care Fraud
  Better, Smarter, Healthier: Health Care Payment Learning and Action Network Kick Off to Advance Value and Quality in Health Care
  The Economic Impacts of Medicaid Expansion, Uncompensated Care Costs and the Affordable Care Act
  Medicaid Enrollment and the Affordable Care Act
  Nationwide Nearly 11.7 Million Consumers are Enrolled in 2015 Health Insurance Marketplace Coverage
Community Provider News
  The Detroit News - Funds at Risk for Community Health Centers
  McKnight's - Numerous Medicare Funding
  Reuters - U.S. Top Courts Says Medical Providers Can't Sue States Over Medicaid Funding
  Kaiser Family Foundation - How Much (More) Will Seniors Pay for a Doc Fix?
  National Association for Home Care & Hospice - House of Representatives Leadership Working on Permanent SGR FIX: Home Health and Hospice Impact
  McKnight's - Medicare Providers Could Face Up To 100% Late Tax Penalties
  National Association for Home Care & Hospice - Hospice Self-Calculation of Aggregate Cap - Meet March 31 Deadline or Payments will be Suspended
Other Releases
  AJMC - Is the Medicare Bundled Payments for Care Improvement Initiative Designed to Succeed?
  OIG – Compendium of Unimplemented Recommendations
  Kaiser Family Foundation - Medicare’s Income-Related Premiums: A Data Note
  Integrated Care Resource Center - State Contracting with Medicare Advantage Dual Eligible Special Needs Plans: Issues and Options
  Kaiser Family Foundation - A Primer on Medicare: Key Facts About the Medicare Program and the People it Covers
  Kaiser Health News - Obamacare, Private Medicare Plans Must Keep Updated Doctor Directories in 2016
  Kaiser Family Foundation - Comparison of Consumer Protections in Three Health Insurance Markets: Medicare Advantage, Qualified Health Plans and Medicaid Managed Care Organizations
  MedPAC - Report to the Congress March 2015
  The Commonwealth Fund - Solving the Sustainable Growth Rate Formula Conundrum Continues Steps Toward Cost Savings and Care Improvement
  Oliver Wyman - Maps and Charts: Analysis of Estimated Impacted of Proposed Reductions to Medicare Advantage Organizations between 2013-2016
2015: February
Affordable Care Act (ACA)
  Kaiser Family Foundation - Are Premium Subsidies Available in States with a Federally-run Marketplace? A Guide to the Supreme Court Argument in King v. Burwell
  Kaiser Family Foundation - Cost-Sharing Subsidies in Federal Marketplace Plans
  MedPAC - MedPAC Comment on CMS's Medicare Shared Saving Program: Accountable Care Organizations Proposed Rule
  CHCS - Supporting Social Service Delivery Through Medicaid Accountable Care Organizations: Early State Efforts
  Kaiser Family Foundation - An Overview of New CMS Data on the Number of Adults Enrolled in the ACA Medicaid Expansion
  Kaiser Family Foundation - The ACA and Medicaid Expansion Waivers
  AJMC - Predicting Nursing Home Placement Among Home- and Community-Based Services Program Participants
  Crain's Detroit Business - Many Michigan ACOs Saving Millions Under Medicare's Cost Saving Plan
  McKnight’s – Medicaid Expansion Plans Fade in Several States
  CHRT - Affordable Care Act Funding: An Analysis of Grant Programs under Health Care Reform – FY2010-FY2014
  The Commonwealth Fund - How will the Affordable Care Act Affect the Use of Health Care Services?
  Kaiser Family Foundation - State Demonstration Proposals to Integrate and Align Financing and/or Administration for Dual Eligible Beneficiaries
  CHCS - State Payment and Financing Models to Promote Health and Social Service Integration
  Kaiser Family Foundation - The Cost of Care with Marketplace Coverage
CMS & HHS Releases
  The 2016 Qualified Health Plan (QHP) Application is Available to Issuers Applying for Certification to Participate in the Federally-facilitated Marketplaces
  CMS Proposes 2016 Payment and Policy Updates for Medicare Health and Drug Plans
  Health Insurance Marketplace 2015: Average Premiums Advance Premium Tax Credits Through January 30 in 37 States Using The Healthcare.gov Platform
  Medicare-Medicaid Plan Annual Requirements and Timeline for CY 2016
  Posting of 2014 Star Ratings RFI Submissions and Star Ratings Request for Comment Summary
  Since 2010, 9.4 Million People with Medicare have Saved over $15 Billion on Prescription Drugs
  CMS Finalizes Program Changes for Medicare Advantage and Prescription Drug Benefit Programs for Contract Year 2016
  Transitioning to ICD-10
  CMS Announces Special Enrollment Period for Tax Season
  National Coverage Determination (NCD) for Screening for Lung Cancer with Low Dose Computed Tomography
  Fact Sheet: Health Care Payment Learning and Action Network Working Together to Move Payment toward Value and Quality in the U.S. Health System
  CMS Strengthens Five Star Quality Rating System for Nursing Homes
  Michigan MMPs: Release of the Plan-Delegated Enrollment Notices
  Health Care Payment Learning and Action Network
  FINAL 2016 Letter to Issuers in the Federally-facilitated Marketplaces
  New Affordable Care Act Initiative to Encourage Better Oncology Care
  Department of Health and Human Services - Office of Inspector General - Comparing Average Sales Prices and Average Manufacturer Prices for Medicare Part B Drugs: An Overview of 2013
  CMS Issues the Final HHS Notice of Benefit and Payment Parameters for 2016
  Financial Alignment Initiative
  Basic Health Program Funding Methodology Final Notice
  Nursing Home Compare 3.0: Revisions to the Nursing Home Compare 5-Star Quality Rating System
Community Provider News
  CHCS - Strategies for Hiring and Training Care Managers in Integrated Programs Serving Medicare-Medicaid Beneficiaries
  McKnight's - CMS Delays Repayment Final Rule a Year
  FBI - Detroit-Area Patient Recruiter and Physical Therapist Convicted in $1.6 Million Medicare Fraud Scheme
  McKnight's - Providers Complain to Feds About ACO Structure, Want More
  National Association for Home Care & Hospice - NAHC Opposes Proposed Home Health Copays and Inflation Update Cuts in President's 2016 Budget
  McKnight's - Changes to Five Star Expected, Providers Fear Lower Ratings
  Administration for Community Living - ACL Issues Rule to Strengthen Long-Term Care Ombudsman Programs
Other Releases
  Oliver Wyman - 2016 Advance Notice: Changes to Medicare Advantage Payment Methodology and the Potential Effect on Medicare Advantage Organizations and Beneficiaries
  The Lewin Group - CMS Bundled Payments for Care Improvement (BPCI) Initiative Models 2-4: Year 1 Evaluation & Monitoring Annual Report
  Federal Register - Medicare Program; Contract Year 2016 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs
  Kaiser Family Foundation - Summary of Medicare Provisions in the President's Budget for Fiscal Year 2016
  McKnight's - Medicare, Medicaid Stay On
  MDCH - Pharmacy Service Changes to Upcoming Michigan Managed Care Request for Proposal
  Kaiser Health News - In The Medicare Bonus Round, The Winners Are...Small, Specialty Hospitals!
2015: January
Affordable Care Act (ACA)
  Kaiser Family Foundation - Federal and State Standards for
  The Commonwealth Fund - State Trends in the Cost of Employer Health Insurance Coverage, 2003-2013
  Kaiser Family Foundation - Abortion Coverage in Marketplace Plans, 2015
  Kaiser Family Foundation - Analysis of 2015 Premium Changes in the Affordable Care Act's Health Insurance Marketplaces
  The Commonwealth Fund - What's Behind Health Insurance Rate Increases? An Examination of What Insurers Reported to the Federal Government in 2013-2014
  Health Affairs - The Share Of People With High Medical Costs Increased Prior To Implementation Of The Affordable Care Act
  Kaiser Family Foundation - Adults who Remained Uninsured at the End of 2014
  CHCS - Integrated Appeals Processes for Medicare-Medicaid Enrollees: Lessons from States
  The Commonwealth Fund - New Survey: More Americans Could Get Needed Health Care and Afford to Pay Their Medical Bills in First Year of ACA Enrollment
  Crain's Detroit Business - Affordable Care Act Spurs Hospitals To Identify, Address Unmet Community Health Needs
  Associated Press - Government Health Care Website Quietly Sharing Personal Data
  MedPAC - January 2015 MedPAC and MACPAC Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
CMS & HHS Releases
  Appendix 5: State of Michigan Additional Requirements - The Michigan Medicare-Medicaid Plan (MMP) State-Specific Enrollment Guidance and updated Delegated Notices (5a & 5b)
  Better Care, Smarter Spending, Healthier People: Improving Our Health Care Delivery System
  Better Care. Smarter Spending. Healthier People: Why It Matters
  Better Care. Smarter Spending. Healthier People: Paying Providers for Value, Not Volume
  CMS Launches Dialysis Facility Compare Star Ratings
  Release of the CY2016 Medicare Advantage, Prescription Drug Plan, and CY2015 PACE Applications
  HHS Proposes Path To Improve Health Technology And Transform Care
  CMS and Indiana Agree on Medicaid Expansion
  First Annual Report: Final - Evaluation of the Community-based Care Transitions Program
Community Provider News
  OIG - Medicare Hospices Have Financial Incentives To Provide Care In Assisted Living Facilities
  Healthcare IT News - Bill To Fix
  NPR - Hospitals' Medicare Quality Bonuses Get Wiped Out By Penalties
  Kaiser Family Foundation - Aiming for Fewer Hospital U-Turns: The Medicare Hospital Readmission Reduction Program
  Yahoo Finance - 5 Ways Congress Can Support Seniors in 2015
  MedPAC - The Need to Reform Medicare's Payments To Skilled Nursing Facilities Is As Strong As Ever
  Crain's Detroit Business - Physicians face smaller Medicaid payments - but it could have been worse
Other Releases
  Associated Press - Medicare Chief Steps Down, Ran Health Care Rollout
  MedPage Today - MedPAC Endorses Per-Beneficiary Primary Care Bonus - Change would be another step away from fee-for-service
  Associated Press - Medicare Aims To Improve Coordinating Seniors' Chronic Care
  The New England Journal of Medicine - Medicare at 50 - Moving Forward
  Kaiser Family Foundation - Visualizing Health Policy: Medicare Spending: A Look at Present, Short-Term and Long-Term Trends
  MedPAC - Comment On The CMS “List of Measures Under Consideration For December 1, 2014”
  Health Affairs - Variations in County Level Costs Between Traditional Medicare and Medicare Advantage Have Implications for Premium Support
  The Detroit News - Groups Split on Merging State Social Services Agencies
  Health Affairs - Medicare Per Capita Spending By Age And Service: New Data Highlights Oldest Beneficiaries
2014: December
Affordable Care Act (ACA)
  Kaiser Health News - Nearly 2.5 Million Consumers Have Selected Health Plans
  The Commonwealth Fund - Creating Connections
  Modern Healthcare - Why Medicare Won't Force Penalties on ACOs
  CHCS - Contacting Hard to Locate Medicare and Medicaid Members
  CHCS - Integrated Appeals Process for Medicare Medicaid Enrollees
CMS & HHS Releases
  Home Health Compare Star Ratings
  CMS Announces Next Phase in Medicare DMEPOS Competitive Bidding
  National Health Expenditures Continued Slow Growth in 2013
  New CMS Rules Enhance Medicare Provider Oversight
  Early Preview - CY2016 Medicare Advantage Ratebook Growth Rates
  CMS Releases New Proposal To Improve Accountable Care Organizations
  State Innovation Models Initiative Round Two
  Medicare and Medicaid Program; Revisions to Certain Patient's Rights
Other Releases
  The Wall Street Journal - New Medicare Rules Aim to Reduce Abuse
  USA Today - Medicare House Calls On Rise In Michigan
  Kaiser Family Foundation - How Much of the Medicare Spending Slowdown Can Be Exp
  McKnight's - Congress Leaves Medicare and Medicaid Untouched
  Kaiser Family Foundation - Medicare Advantage 2015 Data Spotlight
  MedPAC - Context for Medicare Payment Policy and Recommendations
  Crain's Detroit Business - Doctors See Potential Revenue Boost
2014: November
Affordable Care Act (ACA)
  Health Affairs - International Survey of Older Adults
  CHCS - Show Me the Integration!
  CHCS - Risk Stratification
  MDCH - Michigan Announces Implementation Timeline
  Kaiser Family Foundation - The ACA and Recent Section 1115
  McKnight's - Providers, CMS At Odds
CMS & HHS Releases
  Medicare ACOs Continue To Succeed
  CMS Issues the HHS Notice of Benefit and Payment Parameters
  Health Insurance Marketplace Offers Tool
Community Provider News
  McKnight's - Draft Bill Proposes Counting Observation Stays
  The Center for Public Integrity - Analysis Shows Widespread Discrepancies
Other Releases
  Modern Healthcare - Were patients really sicker?
  OIG - Fighting Waste and Fraud
  The Wall Street Journal - Doctors Cash In On Drug Tests
  The New York Times - Medicare Proposes Paying for Lung Cancer Screenings
  The Washington Post - How to keep Medicare costs down?
  Kaiser Family Foundation - What Do We Know About Health Care Access
  Modern Healthcare - Unreported GPO Fees
  The Center for Public Integrity - More Scrutiny Coming For Medicare Advantage
2014: October
Affordable Care Act (ACA)
  Yahoo News - 100 Days in Michigan
  Health Affairs - Low-Income Residents In Three States
  The Commonwealth Fund - The Road to Accountable Care
CMS & HHS Releases
  Release of CY 2015 Model Materials
  2015 Medicare Part B Premiums
  Michigan Financial Alignment
  CMS Announces Two Medicare Quality Improvement Initiatives
  Basic Health Program Funding Methodology
  New Affordable Care Act Initiative
  Medicare Open Enrollment Begins Today
  CMS Kicks Off Effort To Help
  Accountable Care Organization
Community Provider News
  Forbes - Want To Fix The
  Michigan Home Health Agency Owner Pleads Guilty
Other Releases
  Kaiser Family Foundation - Medicare Part D
  The Wall Street Journal - Insider-Trading Probe
  Kaiser Health News - Many Medicare Outpatients
  The Washington Post - ALS Patients Face Loss
  Kaiser Family Foundation - What's In and What's Out?
  Kaiser Family Foundation - Open Enrollment
  The Wall Street Journal - How Medicare
  MedPAC - New from MedPAC: 2014 Payment Basics Series
  The New York Times - U.S. Finds Many Failures
2014: September
Affordable Care Act (ACA)
  Crain's Detroit Business - State's $8B Test
  Kaiser Family Foundation - Analysis of 2015 Premium Changes
  Crain's Detroit Business - DMC's Michigan Pioneer ACO
  The Commonwealth Fund - New Commonwealth Fund Report: Most People with ACA
CMS & HHS Releases
  Medicare ACOs Continue To Succeed In Improving Care
  Delivering Better Care At Lower Cost
  HHS Awards More Than $295 Million In Affordable Care Act Funds
  HHS Announces $60 Million To Help Consumers
  New Report Projects a $5.7 Billion Drop
  Number of Uninsured Projected to Decrease
  New Report: Health Insurance Marketplace
  CMS Finalizes Auto-Enrollment Process
  National Partnership to Improve Dementia
  Medicare Advantage Enrollment At All-Time High
Community Provider News
  Crain's Detroit Business - DMC Gets $10M From Medicare
  NPR - To Prevent Hospitalizations
Other Releases
  The Heritage Foundation - Progress in Medicare Advantage
  Health Data Management - CMS Needs to Fully Develop Plans
  Kaiser Family Foundation - Medicare at a Glance
  Kaiser Health News - Medicare Open Enrollment
  Kaiser Family Foundation - The Medicare Prescription Drug Benefit Fact Sheet
  Kaiser Family Foundation - Visualizing Health Policy
  Reuters - What Cancer Patients Want
  Gov Info Security - SSNs on Medicare Cards
2014: August
Affordable Care Act (ACA)
  The Columbus Dispatch - Home-Health Workers Go Unpaid
  Kaiser Family Foundation - One Year into Duals Demo
  The Washington Post - Health Law's Center for Medicare and Medicaid
CMS & HHS Releases
  Federal Health Insurance Marketplace
  CMS Issues Hospital Inpatient Payment Regulation
  CMS Finalizes Updates To The Wage Index
  Frequently Asked Questions Regarding Medicare and the Marketplace
  The Affordable Care Act Supports Patient-Centered Medical Homes
Community Provider News
  The New York Times - Medicare Ratings Let Nursing Homes Game the System
  McKnight's - Medicare Advantage Organizations Are Unresponsive
Other Releases
  The New York Times - Medicare to Start Paying Doctors
  MedPAC - Comment Letter: CMS's Proposed Rule Entitled: Medicare Program
  The Wall Street Journal - How Agents Hunt for Fraud
  The Washington Post - Watchdog: Some Medicare Spending On HIV Drugs
  MedPAC - Comment Letter: CMS's Proposed Rule Entitled
  Medicare & Medicaid Research Review
  Forbes - For Medicare, Private Is Better Than Public
  Senior Journal - Medicare Drug Plan Premiums
  The New York Times - Medicare Advantage Is More Expensive
  The Kaiser Family Foundation - Medicare Part D
2014: July
Affordable Care Act (ACA)
  The Commonwealth Fund - Implementing the Affordable Care Act
  The Kaiser Family Foundation - Financial and Administrative Alignment
  The New York Times - A Two-Page Form
  Journal of Health Politics, Policy and Law - Safety-Net Provider
  The Kaiser Family Foundation - Survey of Health Insurance
CMS & HHS Releases
  Medicaid Innovation Accelerator
  CMS Extends Moratoria
  Health Care Innovation Awards
  Trustees Report Shows Continued Reduced Cost
  HHS Announces The Availability Of $100 Million
  CMS Launches Next Phase
  Proposed Policy and Payment Changes
  CMS Proposes Payment Changes
Community Provider News
  Forbes - Medicare Eases Rule
  McKnight's - CMS Announces Medicare Appeals
Other Releases
  The Kaiser Family Foundation - How Much Is Enough?
  Time - Why Most Seniors Can't Afford
  The Washington Post - Some Seniors Win Medicare
  The Kaiser Family Foundation - The Mystery of the Missing $1000
  Forbes - A Modest Step to Improve Medicare
  USA Today - Hospitals, Regulators Spar
  The Wall Street Journal - Report Raises Red Flags
  The Kaiser Family Foundation - The Facts on Medicare Spending
  The Center For Public Integrity - Feds Seek New Authority
2014: June
Affordable Care Act (ACA)
  Kaiser Health News - Michigan To Reward Medicaid Enrollees
  EHR Intelligence - Groups Urge Medicare
  Health IT Outcomes - Medicare ACO Lessons
  The Commonwealth Fund - Accountable Care in the Safety Net
  The Commonwealth Fund - Mitigating the Effects
CMS & HHS Releases
  CMS Announces Opportunity to Apply
  CMS Fraud Prevention System
  CMS Initiative Helps People
Community Provider News
  NPR - Hospitals To Pay Big Fines
  The Oakland Press - Medicare Dollars
  McKnight's - Technology Is Helping
Other Releases
  USA Today - Seniors' Use of Potent Meds
  Crain's Detroit Business - Medicare Sustainable Growth
  The Center For Public Integrity - Why Medicare Advantage
  U.S. News & World Report - Why Retirees
  Kaiser Family Foundation - Visualizing Income
  WebMD - Medicare Could Save Billions
  MedPAC - CMS's Hospice
  Forbes - To End VA Doctor Shortage
  The Center For Public Integrity - Medicare Advantage
  MedPAC - Report to the Congress
2014: May
Affordable Care Act (ACA)
  The Commonwealth Fund - New Survey: Community Health Centers
  The Commonwealth Fund - The Federal Medical Loss Ratio Rule
  Kaiser Family Foundation - Financial and Administrative Alignment
  The Commonwealth Fund - The Federal Medical Loss Ratio Rule
  Kaiser Family Foundation - Financial and Administrative Alignment
  Kaiser Family Foundation - State Demonstration Proposals to Integrate Care
CMS & HHS Releases
  CMS Launches Improved Quality Improvement Program
  Prior Authorization To Ensure Beneficiary Access
  Per Capita Health Spending for Elderly Grows
  New Funding Gives States and Innovators Tools
  CMS Proposes Updates to the Wage Index
  CMS Makes Improvements To Medicare
  Administration Announces Proposal to Clarify Availability
  Medicare Fraud Strike Forces Charges 90 Individuals
  Health Insurance Marketplace: Summary Enrollment Report
  CMS launches improved Quality Improvement Program
  Proposed Fiscal Year 2015 Payment and Policy Changes
  Reforms of Regulatory Requirements To Save Health Care Providers
  Medicaid & CHIP: March 2014 Monthly Applications
Community Provider News
  McKnight's - 20% of Medicare Patients Harmed
  McKnight's - 2-Midnight Rule
  McKnight's Long-Term Care News & Assisted Living - Providers Could Be Removed
  AHCA - Long Term Care Advocates
  Annals of Long-Term Care - Determining the Future
Other Releases
  Healthcare Finance News - New Rates and Policies
  MedPAC - Testimony: Medicare Fee-For-Service
  Kaiser Family Foundation - How are Seniors Choosing
  Kaiser Health News - Should Medicare Pay The Same
  Reuters - Medicare Pays Billions of Dollars
  NPR - For Some Doctors, Almost All Medicare Patients Are Above Average
  Forbes - Seniors Flock To Star-Rated
  Kaiser Family Foundation - Medicare Advantage
Upcoming Events
  Reforms of Regulatory Requirements
2014: April
Affordable Care Act (ACA)
  Modern Healthcare - Give ACOs a Break
  Science Daily - Patient Care Patterns
  Yahoo News - Survey Confirms Gains in Health Insurance Sign-Ups
  Kaiser Health News - Most States to Rely on Federal Website
  Kaiser Family Foundation - State Demonstration Proposals to Integrate Care
  Modern Healthcare - ACA Cost Estimate Cut
  Modern Healthcare - ACA Enrollment Tops 8 Million
CMS & HHS Releases
  HHS Announces Important Medicare Information
  Historic Release of Data
  Participation Rises in Medicare Physician Quality Reporting System
  CMS Ensures Higher Value and Quality for Medicare
  CMS and Michigan Partner to Coordinate Care
Community Provider News
  Associated Press - Medical Assn Won't Stop Medicare Doc Data Release
  Modern Healthcare - AHA Lawsuit Over
  Kaiser Family Foundation - Paying a Visit to the Doctor
  The Commonwealth Fund - Grand Rapids and West Central Michigan
  Healthcare IT News - ICD-10 Delay Dismays Prepared Vendors
  CNN Money - Medicare Vs Private Insurance
Other Releases
  Reuters - U.S. Official Responsible
  Reuters - Final Medicare Payments To Insurers
  Bloomberg News - Medicare's $5 Billion Ambulance Tag
  AHIP - New Bipartisan Letter Urges CMS To Protect Seniors
  Kaiser Family Foundation - Retiree Health Benefits
Upcoming Events
  
2014: March
Affordable Care Act (ACA)
  Healthcare IT News - Health Insurance Giant Inks ACO Deal
  Bloomberg - Obama Said to Allow Two-Year Renewal
  The Kaiser Family Foundation - State Demonstration Proposals to Integrate Care
  HealthAffairs - Adults in the Income Range
  The Commonwealth Fund - Assessing Care Integration for Dual-Eligible Beneficiari
  Kaiser Family Foundation - Sizing Up Exchange Market Competition
  Reuters - Sebelius Says No Obamacare
  Modern Healthcare - Exchange Enrollment Tops 4.2 Million
CMS & HHS Releases
  CMS Operational Background on the Health Insurance Marketplace
  HMS Releases Security Risk Assessment Tool
  7.9 Million People with Medicare Have Saved
  Medicare Advantage: Stronger Under The Affordable Care Act
  Medicare Care Choices Model
  HHS 2015 Health Policy Standards Fact Sheet
Community Provider News
  McKnight's Long-Term CARE News & Assisted Living - Dual Eligibles In Nursing Hom
  NCOA - President's Budget a Mixed Bag for Senior Programs
  Bloomberg - House Speeds Medicare
  The New York Times - A Quiet
Other Releases
  MedPAC - Medicare Payment Advisory Commission
  AHIP Coverage - New State-by-State Data
  The Kaiser Family Foundation - Summary of Medicare Provisions
  Modern Healthcare - Medicare Advantage Plans Fight Proposal
  Reuters - US Administration Pulls Back
  The Detroit News - Senate Hears From Michigan Women
  Health Affairs - Geographic Variation
  Yahoo Finance - Medicare PDP Growth
  AHIP - New Video Highlights Congressional Hearing
  NPR - House Passes Payment Fix
2014: February
Affordable Care Act (ACA)
  Yahoo News - New Blow For Obama Health Law
  Pioneer Press - Budget Model Uncertain For State Health Exchanges
  Modern Healthcare - Reform Update
  Bloomberg Businessweek - Paying Doctors to Shun Hospitals
CMS & HHS Releases
  Enrollment in the Health Insurance Marketplace increases by 53 percent in Januar
  CMS Seeks Input
  CMS Proposes 2015 Payment
Community Provider News
  Annals of Long-Term Care - Weighing In On Changes
  McKnight's Long-Term Care News & Assisted Living - With ICD-10 Transition Date F
  Science Daily - Medicare Beneficiaries Return
  McKnight's Long-Term Care News & Assisted Living - CMS Clarifies Rules
Other Releases
  AHIP - Members of Congress Speak Out
  Yahoo News - AMA Supports Overhaul of Medicare Doctors' Pay
  Oliver Wyman - Early Indications of Changes to the 2015 Medicare Advantage Payme
  Crain's Detroit Business - Federal Crackdown on Medicare
  AHIP - Minority Organizations Urge CMS to Keep Mediacre Advantage Rates Flat in
  JAMA - Physicians and Medicare
  Health Management Technology - 12 Things To Know About The SGR Repeal Bill
2014: January
Affordable Care Act (ACA)
  Milbank Memorial Fund - Improvements in Health Status
  The Kaiser Family Foundation - State Demonstration Proposals to Integrate Care a
  National Senior Citizens Law Center - Is It Working?
  The Wall Street Journal - Exchanges See Little Progress on Uninsured
CMS & HHS Releases
  CMS and Maryland Announce Joint Initiative
  HHS Strengthens Community Living Options
  CMS Proposes Program Changes for Medicare Advantage
  CMS Strategy To Combat Medicare Part D
Community Provider News
  McKnight's Long-Term Care News & Assisted Living - MedPAC Endorses Readmissions
  Crain's Detroit Business - Merger of 2 Health Information Exchanges
Other Releases
  The Washington Post - Medicare Agency Seeks To Speed Up Appeals For Coverage
  The Kaiser Family Foundation - Medigap Reform: Setting the Context for Understan
  The Kaiser Family Foundation - Medicare and the Federal Budget
  MedPAC - Temporary Payment Policies in Medicare
  Forbes - More Cuts In Store For Medicare Plans

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