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Health Care Headlines.

Subjects: *HEALTH; *HEALTH insurance; *POST-acute COVID-19 syndromeCENTERS for Medicare & Medicaid Services (U.S.) ; AMERICAN Physical Therapy Association (1921- )

• Source: APTA Magazine. Apr2024, Vol. 16 Issue 3, p44-47. 4p.

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JOE BIDEN'S BOUNTY ON YOUR LIFE.

• Authors : LEE VLIET, ELIZABETH; SHULTZ, ALI

Subjects: *CORONAVIRUS Aid, Relief & Economic Security Act (U.S.); *COVID-19; *HOSPITALSCENTERS for Medicare & Medicaid Services (U.S.)

• Source: USA Today Magazine. Jan2022, Vol. 150 Issue 2920, p24-25. 2p.

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Information to Act On.

Subjects: *INDIVIDUAL retirement accounts; *HUMAN services; MEDICARE Part DCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Kiplinger Retirement Report. Dec2023, Vol. 30 Issue 12, p14-18. 4p. 2 Color Photographs.

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Sound Bites.

Subjects: *WAGESCENTERS for Medicare & Medicaid Services (U.S.)VERMA, Seema, 1970-; PANJABI, Raj; CLINTON, Bill, 1946-

• Source: TIME Magazine. 11/4/2019, Vol. 194 Issue 18/19, p60-61. 2p. 6 Color Photographs.

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Medicare Advantage health equity factor to shake up ratings.

• Authors : Tepper, Nona

Subjects: *COMMUNITY health services; *HEALTH insurance reimbursement; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.)

• Source: Modern Healthcare. 4/8/2024, Vol. 54 Issue 4, p6-6. 1p.

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Health insurers retreat from ACO REACH.

• Authors : Tepper, Nona

Subjects: *HEALTH insurance reimbursement; *HEALTH insurance; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.)

• Source: Modern Healthcare. 4/8/2024, Vol. 54 Issue 4, p30-30. 1p.

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Providers unmoved as insurers decry Medicare Advantage rate cut.

• Authors : Hudson, Caroline

Subjects: *LOBBYING; *GOVERNMENT policy; *HEALTH insurance reimbursementCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Modern Healthcare. 3/11/2024, Vol. 54 Issue 3, p32-32. 1p.

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Medicare Drug Plans Can Now Cover Wegovy for Heart Disease.

• Authors : Muller, Madison (AUTHOR)

Subjects: *MEDICARE; *PHARMACEUTICAL services insurance; MEDICARE Part DNOVO Nordisk A/S NOVO Nordisk A/S NOVO Nordisk A/S NVO; CENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bloomberg.com. 3/22/2024, pN.PAG-N.PAG. 1p.

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CMS Estimates Savings for Patients from Medicare Inflation Rebates.

• Authors : Myshko, Denise

Subjects: *COST control; *MEDICARE; *HEALTH insuranceCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Formulary Watch. 3/26/2024, p1-1. 1p.

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MEDICARE COGNITIVE ASSESSMENTS: Utilization Tripled between 2018 and 2022, but Challenges Remain.

• Authors : Gordon, Leslie V.

Subjects: UNITED States. Government Accountability Office; CENTERS for Medicare & Medicaid Services (U.S.); COGNITION disorders

• Source: GAO Reports. 12/11/2023, p1-37. 42p.

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CMS looks to claw back billions in overpayments to Medicare Advantage plans.

• Authors : HUT, NICK

Subjects: *AUDITINGCENTERS for Medicare & Medicaid Services (U.S.)

• Source: hfm (Healthcare Financial Management). Mar2023, Vol. 77 Issue 2, p10-11. 2p.

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Just one-third of New Yorkers with commercial insurance accessed specialty mental health care in 2021, report says.

• Authors : Neber, Jacqueline (AUTHOR)

Subjects: *BUSINESS insurance; *INSURANCE rates; MENTAL health servicesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Crain's New York Business. 2/19/2024, Vol. 40 Issue 7, p7-7. 1p.

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END-STAGE RENAL DISEASE: CMS Plans for Including Phosphate Binders in the Bundled Payment.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); CHRONIC kidney failure; CHRONIC diseases

• Source: GAO Reports. 11/30/2023, Preceding pi-25. 28p.

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MEDICAID PROGRAM INTEGRITY: Opportunities Exist for CMS to Strengthen Use of State Auditor Findings and Collaboration.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); MEDICAID; HEALTH insurance

• Source: GAO Reports. 9/21/2023, Preceding pi-39. 40p.

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MEDICARE PART D: CMS Should Monitor Effects of Rebates on Drug Coverage and Spending.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); MEDICARE; REBATES

• Source: GAO Reports. 9/19/2023, Preceding p1-9. 10p.

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Health Care Headlines.

Subjects: *NOSOLOGY; *MANIPULATION therapy; *COMPRESSION therapyCENTERS for Medicare & Medicaid Services (U.S.)

• Source: APTA Magazine. Mar2022, Vol. 14 Issue 2, p44-45. 2p.

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Viewpoint: CMS Releases FAQs on Section 111 Penalties.

• Authors : Anders, Dean (AUTHOR)

Subjects: *MEDICARE; *MEDICAID; *PAYMENTCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Claims Journal. 11/30/2023, pN.PAG-N.PAG. 1p.

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GAO: Rebates Resulted in Medicare Patients Paying More for Drugs Than Plans.

• Authors : Myshko, Denise

Subjects: *GOVERNMENT agencies; *HEALTH insurance; *PHARMACEUTICAL industryCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Formulary Watch. 9/12/2023, p2-2. 1p.

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Hospitals criticize proposed outpatient payment increase, which will be affected by 340B payments.

• Authors : HUT, NICK

Subjects: *MEDICARE; RATES for outpatient services in hospitalsCENTERS for Medicare & Medicaid Services (U.S.)

• Source: hfm (Healthcare Financial Management). Sep2022, Vol. 76 Issue 6, p12-13. 2p.

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PROMIS Global Health: Feasibility in home health.

• Authors : Riggs, Jennifer S. (AUTHOR); Roczen, Marisa (AUTHOR); Levitt, Alan (AUTHOR)

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); WORLD health; MEDICAL personnel

• Source: Quality of Life Research. Sep2021, Vol. 30 Issue 9, p2551-2561. 11p. 7 Charts.

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VBID Hospice Carve-In: Thriving in a New World.

• Authors : Snider, Bethany C.¹ (AUTHOR); Dillon, Dustin² (AUTHOR)

Subjects: *HOSPICE nurses; *HOSPICE care; *MEDICARE Part CCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Journal of Pain & Symptom Management. May2024, Vol. 67 Issue 5, pe599-e600. 2p.

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Hospice Care in Emergency Planning and Response.

• Authors : Rogers, Janna Baker¹ (AUTHOR); Cliff, Barbara² (AUTHOR)

Subjects: *EMERGENCY management; *HOSPICE nurses; *HOSPICE careCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Journal of Pain & Symptom Management. May2024, Vol. 67 Issue 5, pe516-e517. 2p.

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Adjusting Starting Points for Initial Price Offers: The Example of Ibrutinib.

• Authors : Gibbons, Jason B.^1,2 ; Bennett, Charles L.^3,4; Carson, Kenneth R.⁵

Subjects: *CHRONIC lymphocytic leukemia; *ANTINEOPLASTIC agents; *NEGOTIATIONCENTERS for Medicare & Medicaid Services (U.S.)

• Source: American Journal of Managed Care. Apr2024, Vol. 30 Issue 4, p193-196. 4p.

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NFP Hospitals Get Boost From Medicare Pay Hike.

• Authors : SHIELDS, YVETTE (AUTHOR)

Subjects: *WAGE increases; *HOSPITALS; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bond Buyer. 8/4/2022, Vol. 394 Issue 35755, p1-3. 2p. 1 Black and White Photograph.

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Centers for Medicare and Medicaid Services (CMS).

Subjects: *MEDICARE; *MEDICAID; *FINANCIAL planningCENTERS for Medicare & Medicaid Services (U.S.) ; UNITED States. Dept. of Health & Human Services

• Source: Federal Grants & Contracts. 10/20/2022, Vol. 46 Issue 22, p6-7. 2p.

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Information to Act On.

Subjects: *INDIVIDUAL retirement accounts; *NATIONAL health insurance; MEDICARE beneficiariesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Kiplinger Retirement Report. Nov2022, Vol. 29 Issue 11, p16-17. 2p.

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US Health-Care Spending on Pace to Top $7 Trillion by 2031.

• Authors : Griffin, Matthew (AUTHOR)

Subjects: *MEDICARE costs; *HEALTH insurance; MEDICAL care costsCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bloomberg.com. 6/14/2023, pN.PAG-N.PAG. 1p.

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Medicare Patients' Health Records Breached in MOVEit Hack.

• Authors : Tozzi, John (AUTHOR)

Subjects: *MEDICARE; *COMPUTER hacking; *COMPUTER hackersCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bloomberg.com. 7/28/2023, pN.PAG-N.PAG. 1p.

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Income Inequality and Opioid Prescribing Rates: Exploring Rural/Urban Differences in Pathways via Residential Stability and Social Isolation.

• Authors : Yang, Tse‐Chuan (AUTHOR); Kim, Seulki (AUTHOR); Shoff, Carla (AUTHOR)

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); INCOME inequality; SOCIAL stability

• Source: Rural Sociology. Mar2021, Vol. 86 Issue 1, p26-49. 24p. 3 Charts.

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THE SOCIAL SAFETY NET.

• Authors : LAROCHELLE, RYAN; DEPREZ, LUISA S.

Subjects: *HEALTH insurance; *MEDICAID; PUBLIC housingCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Washington Monthly. Apr-Jun2020, Vol. 52 Issue 4/6, p29-31. 3p. 1 Color Photograph.

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CMS sets parameters for services to meet social needs in Medicaid.

• Authors : Enos, Gary

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); MEDICAID; MEDICAL needs assessment

• Source: Mental Health Weekly. 1/30/2023, Vol. 33 Issue 5, p1-6. 6p.

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Take Steps to Prepare for DIR Fee Changes in 2024: Up-Front Payments to Pharmacies Will Be Significantly Lower Starting This Year, Creating Cash Flow Challenges.

• Authors : Jolley, Benjamin

Subjects: *DRUGSTORES; *HEALTH insurance reimbursement; *USER chargesUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Pharmacy Times. Feb2024, Vol. 90 Issue 2, p22-23. 2p.

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Industry Payments Comparison Between Female and Male Mohs Surgeons From 2015 to 2021.

• Authors : Rosales Santillan, Monica¹ (AUTHOR) ; Guzman, Anthony² (AUTHOR) ; Waldman, Abigail H.^2,3 (AUTHOR)

Subjects: *SURGEONS; *PAYMENT; *FEMALESCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Dermatologic Surgery. Dec2023, Vol. 49 Issue 12, p1170-1173. 4p.

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NURSING HOMES: CMS Should Make Ownership Information More Transparent for Consumers.

• Authors : Gordon, Leslie V.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); UNITED States. Government Accountability Office; TRANSPARENCY in governmentUNITED StatesUNITED StatesUNITED StatesReport Available

• Source: GAO Reports. 2/2/2023, Preceding pi-34. 38p.

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MEDICARE ADVANTAGE: Plans Generally Offered Some Supplemental Benefits, but CMS Has Limited Data on Utilization.

• Authors : Rosenberg, Michelle B.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); BENEFIT performances; PUBLIC health

• Source: GAO Reports. 1/31/2023, preceding pi-41. 46p.

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ABUSE AND NEGLECT: CMS Should Strengthen Reporting Requirements to Better Protect Individuals Receiving Hospice Care.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); HOSPICE care; TERMINAL care

• Source: GAO Reports. 1/11/2023, p1-25. 30p.

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Making Money in Government Health Care Is About to Get Harder.

• Authors : Tozzi, John (AUTHOR)

Subjects: *MEDICAL care; *INVESTORS; MEDICARE Part CCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bloomberg.com. 3/30/2023, pN.PAG-N.PAG. 1p.

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CMS Grants Pass-through Reimbursement for Iheezo.

Subjects: *HEALTH insurance reimbursement; *ENDOWMENTS; ANESTHETICSCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Formulary Watch. 3/13/2023, p1-1. 1p.

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Majority of Providers Experienced Payer Audits: How to Prepare.

Subjects: *AUDITING; *HEALTH insurance companiesCENTERS for Medicare & Medicaid Services (U.S.) ; UNITEDHEALTH Group Inc. 112871561 UNITEDHEALTH Group Inc. UNITEDHEALTH Group Inc. 112871561 112871561 UNITEDHEALTH Group Inc. 112871561 UNHGRIGSBY, Jim

• Source: Receivables Report for America's Health Care Financial Managers. Mar2019, Vol. 34 Issue 3, p1-11. 3p.

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CMS Changes Would Speed Up Appeals Process.

Subjects: HEALTH care industry laws; NOTICE of appeal (Law)CENTERS for Medicare & Medicaid Services (U.S.) ; AMERICAN Hospital Association AMERICAN Hospital Association AMERICAN Hospital Association 051064566 ; UNITED States. Dept. of Health & Human Services

• Source: Receivables Report for America's Health Care Financial Managers. Jan2019, Vol. 34 Issue 1, p10-11. 2p.

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Update on Price Transparency: CMS releases second set of FAQs on price transparency guidance.

• Authors : McElvain, Joel^1,2

Subjects: *HEALTH insurance; HEALTH policyCENTERS for Medicare & Medicaid Services (U.S.) ; UNITED States. Dept. of Health & Human ServicesVERMA, Seema, 1970-

• Source: Dennis Barry's Reimbursement Advisor. Feb2019, Vol. 34 Issue 6, p7-9. 3p.

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CMS Proposes Streamlining Certain Medicare Conditions of Participation.

• Authors : Wood, Isabella E.¹

Subjects: *MEDICARE; *MEDICAL personnel; *HOSPITALSUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Dennis Barry's Reimbursement Advisor. Dec2018, Vol. 34 Issue 4, p6-8. 3p.

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CMS Finalizes Changes to Inpatient Admission Order Requirements: Change may reduce denials of medically necessary inpatient admissions.

• Authors : Polston, Mark¹ ; Gennett, Lauren²

Subjects: *MEDICARE; INPATIENT care; HOSPITAL admission & dischargeUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Dennis Barry's Reimbursement Advisor. Sep2018, Vol. 34 Issue 1, p3-6. 4p.

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CMS, HRSA at Odds Over Indigent Medicare Bad Debt: CMS policy conflicts with NHSC loan program Second in three-part series.

• Authors : Polston, Mark¹ ; Strandell, Brittany²

Subjects: *MEDICARE; *MEDICAL personnel; MEDICARE beneficiariesCENTERS for Medicare & Medicaid Services (U.S.) ; NATIONAL Health Service Corps (U.S.)

• Source: Dennis Barry's Reimbursement Advisor. Aug2018, Vol. 33 Issue 12, p3-6. 4p.

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States Advancing All‐Payer Health Equity Approaches and Development Model (CMS).

Subjects: *MEDICARE; *MEDICAID; HEALTH equityCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Federal Grants & Contracts. 12/7/2023, Vol. 48 Issue 1, p7-7. 1p.

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Health Care's Epic Battle.

• Authors : STUDER, QUINT

Subjects: *HEALTH care reform; *REIMBURSEMENT; *PATIENT satisfactionCENTERS for Medicare & Medicaid Services (U.S.)

• Source: USA Today Magazine. Jan2014, Vol. 142 Issue 2824, p48-49. 2p.

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COVID-19 IN NURSING HOMES: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control.

• Authors : Dicken, John E.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); CENTERS for Disease Control & Prevention (U.S.); NURSING care facilities

• Source: GAO Reports. 9/14/2022, preceding pi-56. 60p.

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Medicaid and Medicare Part B spending on immunomodulators and biosimilars.

• Authors : Thompson, Alyssa M.¹ (AUTHOR); Atluri, Swetha¹ (AUTHOR); Price, Kyla N.² (AUTHOR)

Subjects: *MEDICARE Part B; *IMMUNOMODULATORS; *CONSUMER price indexesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Journal of Dermatological Treatment. May2022, Vol. 33 Issue 3, p1762-1764. 3p.

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Psoriasis drugs in the medicare population: dermatologists' spending and prescription patterns.

• Authors : Yang, Jason J.¹ (AUTHOR); Pham, Alexander T.¹ (AUTHOR); Maloney, Nolan J.² (AUTHOR)

Subjects: *MEDICARE Part D; *PSORIASIS; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.) ; UNITED States. Food & Drug Administration

• Source: Journal of Dermatological Treatment. May2022, Vol. 33 Issue 3, p1758-1761. 4p.

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In comments to CMS, HFMA urges changes to the 340B remedy plan for hospitals.

• Authors : HUT, NICK

Subjects: MEDICARE Part CHEALTHCARE Financial Management Association (U.S.) ; CENTERS for Medicare & Medicaid Services (U.S.)

• Source: hfm (Healthcare Financial Management). Oct2023, Vol. 77 Issue 7, p13-13. 1/3p.

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