Proposed Rule

Listening instead of reacting

Listening instead of reacting

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Reimbursement model changes should bring freedom back to the licensed professional.

Proposed managed care rule could accelerate shift away from nursing home care, official suggests

Proposed managed care rule could accelerate shift away from nursing home care, official suggests

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Proposed regulations slated for early 2015 likely will affect how Medicaid managed care balances home- versus facility-based long-term care, news sources reported Wednesday.

CMS clarifies Medicaid eligibility requirements under the Affordable Care Act

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The Centers for Medicare & Medicaid Services announced a final rule clarifying eligibility and income standards for the expansion of Medicaid under the Affordable Care Act.

New CMS rule would make Medicare data available to providers

In a move to help consumers find high-quality care and help providers offer it, the Centers for Medicare & Medicaid Services has issued a new proposed rule that would let qualified organizations access patient-protected Medicare data. The goal is to make public reports on the quality of nursing homes, physicians, hospitals, surgical centers and other types of providers available to the public, according to CMS.

Providers request significant changes to ACOs prior to implementation

Providers request significant changes to ACOs prior to implementation

As the comment period on the accountable care organizations proposed federal rule approaches its end, provider groups and pilot programs are asking for numerous changes, including reducing quality improvement measures.

New CMS rule offers guidance on Medicaid access

New CMS rule offers guidance on Medicaid access

The Centers for Medicare & Medicaid Services has issued a newly proposed rule to help Medicaid recipients maintain access to healthcare, even as states struggle to keep up with Medicaid budget shortfalls.