The Centers for Medicare & Medicaid Services (CMS) has proposed a rule that would require those who receive Medicare and Medicaid overpayments to report and return the overpayments within 60 days of when the overpayment was identified. The rule would also make providers and suppliers liable for the 10 years preceding the date an overpayment [...]
President Obama recently released his proposed FY2013 budget, which outlines his fiscal goals for the United States. In the budget, the President proposes to cut healthcare spending by $360 billion over the next decade, with $300 billion coming out of Medicare through reduced payments to healthcare providers. Despite these cuts, the budget still proposes to allocate the Department of Health and Human Services (HHS) nearly $950 billion in FY2013, with almost $500 billion proposed for the Center for Medicare and Medicaid Services (CMS) alone.
The Department of Health and Human Services (HHS) recently released the final rules governing Medicare Accountable Care Organizations (ACOs). Many hospitals and physicians felt that the original rules were too financially and operationally burdensome, and very few organizations were willing to embrace the ACO program.
The implementation of the Medicare RAC demonstration program drew criticism and concern from the provider community. Though CMS addressed many of the deficiencies during the national rollout of the Medicare RAC program, the provider community wanted to ensure CMS considered these lessons learned when applying the RAC to State Medicaid programs. Provider advocacy organizations, such as the American Hospital Association, and national and state medical societies commented on the draft rules released by CMS. Many of their comments were applied in the CMS release of the final rules governing the Medicaid RAC program. To review the recommendations that providers submitted and CMS’ corresponding response, click here.
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