News & Insights

HHS launches new web-based tool to track performance of nation’s health care system   May 16, 2012
Public can view data by age, income level, ethnicity, and other factorsREAD MORE »

CMS: Proposed Rule: Medicaid Program; Payments for Services Furnished by Certain Primary Care   May 09, 2012
CMS isued a proposed rule to implement a provision of the Affordable Care Act, which provides increased payments for certain Medicaid primary care services. Under this provision, certain physicians that provide eligible primary care services would be paid the Medicare rates in effect in calendar years (CY) 2013 and 2014 (or if greater, the Medicare rate in effect in 2009) instead of their usual state-established Medicaid rates, which may be lower than federally established Medicare rates.READ MORE »

Quality Bonus Payment Demonstration Undermined by High Estimated Costs and Design Shortcomings   Apr 24, 2012
• The office of the Chief Actuary (OACT) has estimated that the MA Quality Bonus Payment Demonstration will cost $8.35 billion over 10 years, most of which will be paid to 3-star and 3.5-star plans.READ MORE »