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5 days ago · The Centers for Medicare & Medicaid Services (CMS) issued a final rule on April 4, 2025, that modernizes and improves Medicare Advantage (MA), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of …
CMS is Taking Action to Address Benefit Integrity Issues Related to ...
Aug 22, 2023 · CMS has adopted new policies and safeguards to quickly identify and take action against hospices engaged in such practices, to ensure they are providing critical, quality care to some of our most vulnerable beneficiaries at end of life.
Successor Models, Scaling Pathways, and the CMS Innovation Center
Jan 13, 2025 · CMS is now starting on three new state-federal models: States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, Innovation in Behavioral Health (IBH) Model, and Transforming Maternal Health (TMaH) Model, which leverage state flexibility to allow participants iterative change and “management to success” within eight ...
Medicare Advantage Value-Based Insurance Design (VBID) Model …
Dec 16, 2024 · The Centers for Medicare & Medicaid Services (CMS) is terminating the Medicare Advantage (MA) Value-Based Insurance Design (VBID) model at the end of 2025 due to the model’s substantial and unmitigable costs to the Medicare Trust Funds.
The Transplant Eco-System: The Role of Data in CMS Oversight of …
Apr 28, 2023 · In March 2023, HRSA announced the OPTN Modernization Initiative to enhance system equity, accountability, and performance by modernizing OPTN technology, data transparency and analytics, governance, operations, and quality improvement and innovation. In this blog, CMS outlines its strategy for OPOs.
Transforming Medicare Coverage: A New Medicare Coverage …
Jun 22, 2023 · The Centers for Medicare & Medicaid Services (CMS) is committed to fostering innovation while ensuring that people with Medicare have faster and more consistent access to emerging technologies that will improve health outcomes. As part of this commitment, today, CMS announced a proposed Transitional Coverage for Emerging Technologies (TCET ...
Lessons from CMS’ Acute Hospital Care at Home Initiative
In response, the Centers for Medicare & Medicaid Services (CMS) collaborated with outside experts to develop what ultimately became the Acute Hospital Care at Home (AHCAH) initiative, which is set to expire on December 31, 2024, unless Congress takes action to extend it.
CMS National Quality Strategy
Feb 28, 2025 · CMS is working to evolve the CMS National Quality Strategy to reflect the Agency’s quality priorities to increase the health and well-being of individuals, while also meeting the care goals of patients and their caregivers and families.
The CMS Innovation Center’s Strategy to Support High-quality …
Jun 9, 2023 · CMS has set a goal of having 100% of Traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries in accountable care relationships by 2030.
Guiding an Improved Dementia Experience by Clearing the Path …
Jul 8, 2024 · To improve the care and support of people living with dementia and their caregivers, the Centers for Medicare & Medicaid Services (CMS) Innovation Center is pleased to have launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 1, 2024, with 390 participating organizations building Dementia Care Programs (DCPs) that will ...