Policy and Legislation
It would require MA plans to reimburse for items and services at least what would have been paid under original Medicare.
While the original lawsuit honed in on cut points, the new complaint focuses primarily on customer service phone calls placed by CMS.
An investigation by HRSA revealed what the agency called “concerning features” that raised legal and ethical concerns.
This results from a decrease in direct spending of $1.1 trillion and a decrease in revenues of $4.5 trillion, CBO says.
CMS said it’s taking action to end the duplicate enrollments, saying it could potentially save taxpayers about $14 billion annually.
The AGs said a rule targeting 'improper' enrollments would cause widespread loss of insurance coverage and increase premiums.
The bill would double the federal investment in rural health care while reversing future changes to Medicaid hospital funding.
The agency is also proposing to phase out the Inpatient Only list (IPO) over a three-year period.
CMS will negotiate outcomes-based agreements with CGT manufacturers on behalf of state Medicaid agencies.
CMS says it also wants to calculate more accurate payment rates for certain services.