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Keyword: cms

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  • Tavenner Takes a Powder

    01/19/2015 4:14:21 AM PST · by rootin tootin · 4 replies
    American Spectator ^ | 1/19/2015 | David Catron
    Marilyn Tavenner, the Obama administration official who presided over Obamacare’s worst debacles and most devious deceptions, has finally made an intelligent decision—she resigned. Tavenner ran the government bureaucracy responsible for the inept rollout of HealthCare.gov, the promulgation of phony PPACA enrollment figures, and the handout of legally dubious waivers to Democrat-friendly donors. And, when Congress subpoenaed her emails—stop me if you’ve heard this one before—she discovered that they had somehow been deleted. Having thus committed as many blunders as can be reasonably expected of any incompetent apparatchik, she announced last Friday that she will depart next month. The “news” media...
  • Top ObamaCare official stepping down

    01/16/2015 8:11:49 AM PST · by Cincinatus' Wife · 18 replies
    The Hill ^ | January 16, 2015 | Sarah Ferris
    The leader of the agency charged with the ObamaCare rollout is stepping down after five years on the job. Marilyn Tavenner, administrator of the Center for Medicaid and Medicare Services (CMS), announced her departure Friday, which will take effect next month. "It is with sadness and mixed emotions that I write to tell you that February will be my last month serving as the administrator for CMS," Tavenner wrote in an email to staff. Tavenner is leaving after five turbulent years overseeing the agency. Her tenure included the disastrous rollout of the government’s HealthCare.gov website as well as, most recently,...
  • Obamacare’s Christmas surprise

    12/20/2014 8:00:41 PM PST · by Tolerance Sucks Rocks · 22 replies
    The Washington Times ^ | December 19, 2014 | Rep. Mark Meadows
    If you like your health care plan, the Centers for Medicare and Medicaid Services (CMS) has a Christmas surprise for you! When will this new present arrive? December 25th. In an ongoing effort to keep Obamacare numbers elevated, CMS has embarked on the next step of its government takeover of healthcare. It seems CMS is taking a page from Jonathan Gruber’s book; rather than allowing the “stupid” masses to make a decision on their own health plan, CMS has proposed a new rule that includes an overly reaching provision allowing CMS to re-enroll anyone who has not made the annual...
  • White House won't reveal documents related to ObamaCare website security

    08/19/2014 1:22:16 PM PDT · by Oldeconomybuyer · 4 replies
    FOX News ^ | August 19, 2014
    The White House has rejected a request to publicly disclose documents relating to the kinds of security software and computer systems behind the federal health care exchange website on the grounds that the information could "potentially" be used by hackers. The Centers for Medicare and Medicaid Services denied a Freedom of Information Act request made late last year by the Associated Press amid concerns that Republicans raised about the security of the website, which had technical glitches that prevented millions of people from signing up for insurance under ObamaCare. In denying access to the documents, including what's known as a...
  • Tavenner: Transparency for Thee But Not for Me

    08/11/2014 4:46:24 AM PDT · by rootin tootin · 1 replies
    American Spectator ^ | 8/11/2014 | David Catron
    It has been widely reported that the latest Obama administration official to delete emails requested by congressional investigators is Marilyn Tavenner, who runs the Centers for Medicare and Medicaid Services (CMS). Far less coverage, however, has been devoted to the ironic fact that Tavenner’s agency administers the Physician Payment Sunshine Act. The “Sunshine Act,” as it is generally known, is a provision of Obamacare meant to ensure that physicians conduct business transactions with complete transparency. In other words, the very bureaucrat whose emails have conveniently gone missing oversees the agency tasked with keeping your doctor and his business associates honest.
  • Issa: More Than 20 Obama Officials ‘Lost or Destroyed’ E-mails After House Launched Probes

    08/07/2014 5:36:15 PM PDT · by Rockitz · 30 replies
    National Review Online ^ | 7 August, 2014 | Joel Gehrke
    The revelation that Centers for Medicare & Medicaid Services administrator Marilynn Tavenner did not retain her e-mails means that more than 20 witness in the Obama administration to lose or delete e-mails without notifying Congress, according to the top House investigator. “The Obama administration has lost or destroyed e-mails for more than 20 witnesses, and in each case, the loss wasn’t disclosed to the National Archives or Congress for months or years, in violation of federal law,” House Oversight and Government Reform Committee chairman Darrell Issa (R., Calif.) said of Tavenner’s lost e-mails. “It defies logic that so many senior...
  • Obamacare Official Gets Ethics Waiver as Former Company Faces Scrutiny

    07/23/2014 3:09:48 AM PDT · by markomalley · 2 replies
    Daily Signal ^ | 7/23/2014 | Melissa Quinn
    Andrew Slavitt, a former executive at the technology company tasked with saving HealthCare.gov and current second-in-command at the Centers for Medicare and Medicaid Services, was granted an ethics waiver by the Department of Health and Human Services to begin working with his former company immediately.The waiver was granted despite Republican lawmakers’ concerns about Slavitt’s potential conflict of interest. The Daily Signal revealed those concerns in a story yesterday.Slavitt, a former OptumInsight/QSSI group vice president, left the company last month to work as the principal deputy administrator at the Centers for Medicare and Medicaid Services, which runs Obamacare and HealthCare.gov. His...
  • CMS Unable to Resolve Nearly 2.89 Million Obamacare Application Inconsistencies (Pelosi knew)

    07/02/2014 2:28:47 PM PDT · by Libloather · 1 replies
    Free Beacon ^ | 7/01/14 | Elizabeth Harrington
    The federal Obamacare marketplace was unable to verify nearly 3 million irregularities in the applications for enrollment, according to a new audit by the Health and Human Services (HHS) Office of the Inspector General (OIG). The audit, released Tuesday, found that the Centers for Medicare and Medicaid Services (CMS) resolved less than one percent of so-called “inconsistencies” related to the citizenship and residency status of Obamacare sign ups. “The Federal marketplace was not able to resolve inconsistencies related to: citizenship, status as a national, lawful presence, residency, family size, annual household income, and whether the applicant was eligible for minimum...
  • Indiana Gov. Pence Expanding Medicaid

    05/17/2014 9:36:22 AM PDT · by SoConPubbie · 12 replies
    NewsMax ^ | 16 May 2014 12:08 PM | Melanie Batley
    Indiana Gov. Mike Pence has joined a growing list of Republican governors using Obamacare as a way to expand Medicaid. Pence announced Thursday a blueprint of conservative reforms to extend health coverage to a larger share of low-income residents, some of which already have been adopted by other red states, Politico reports. Pence said his proposal was "the kind of health reform that puts working Hoosiers in the driver's seat," according to Politico. Urgent: Do You Approve Or Disapprove of President Obama's Job Performance? Vote Now in Urgent Poll The plan outlines a number of specific proposals including: placing enrollees...
  • Feds Begin Fingerprinting 'High Risk' Medicare Providers and Suppliers

    04/16/2014 4:38:01 AM PDT · by ilovesarah2012 · 23 replies
    weeklystandard.com ^ | April 15, 2014 | JERYL BIER
    Four years after Obamacare became law, the Department of Health and Human Services (HHS) is notifying Medicare providers and suppliers of new fingerprint-based background checks. Eventually, all individuals who hold a five percent or greater stake in a Medicare supplier or provider that is categorized as "high risk" will be subject to the requirement. The provision is part of the Medicare, Medicaid, and CHIP Program Integrity Provisions (Title E) of the Affordable Care Act, and gives the HHS secretary broad discretion in applying the background check requirements depending on the potential for abuse, fraud, and/or waste. The new requirements are...
  • Data trove shows U.S. doctors reap millions from Medicare

    04/08/2014 10:20:05 PM PDT · by blueplum · 23 replies
    Reuters ^ | April 9, 2014 12:24am EDT | SHARON BEGLEY AND M.B. PELL
    (Reuters) :snip: After decades of litigation and over the strenuous objections of the American Medical Association, the leading U.S. doctors group, the federal Centers for Medicare and Medicaid Services (CMS) on Wednesday made public for the first time how much Medicare pays individual doctors. The massive data release, totaling nearly 10 million lines, also includes which medical services each of more than 880,000 physicians and other healthcare providers nationwide billed Medicare for in 2012. :snip: Last December, the inspector general of the Department of Health and Human Services, CMS's parent agency, found that 303 clinicians each collected more than $3...
  • The Next Shoe To Drop: Obamacare Will Increase The Cost Of Employer-Sponsored Insurance

    02/25/2014 12:20:07 PM PST · by Brad from Tennessee · 11 replies
    Forbes ^ | February 25, 2014 | By Avik Roy
    Yesterday, the Obama Administration’s Centers for Medicare and Medicaid Services released a six-page report predicting that Obamacare could cause premiums to increase for nearly two-thirds of small- to medium-sized businesses. “This results in roughly 11 million individuals whose premiums are estimated to be higher as a result of the ACA and about 6 million individuals who are estimated to have lower premiums,” CMS writes. But CMS’ projections almost certainly understate the problem, one that will begin to affect millions of workers in the second half of 2014. The CMS premium report was a requirement imposed by Congress on the administration...
  • Insurers: Medicare Advantage cuts cost seniors $900 per year

    03/02/2014 8:51:20 AM PST · by Libloather · 17 replies
    The Hill ^ | 2/27/14 | Elise Viebeck
    The health insurance industry fighting proposed cuts to Medicare Advantage payments argued they will raise seniors' out-of-pocket costs next year. America's Health Insurance Plans (AHIP), a trade group, blasted the reductions with a report Thursday finding that beneficiaries could pay as much as $900 more in 2015 if the cuts take effect. The report by consulting firm Oliver Wyman concluded that Medicare Advantage (MA) plans could see a 5.9 percent total cut to their payments next year as a result of changes proposed by federal health officials. The Centers for Medicare and Medicaid Services (CMS) floated a 2015 cut of...
  • Obama administration to end contract with CGI Federal, company behind HealthCare.gov

    01/10/2014 12:32:41 PM PST · by SeekAndFind · 22 replies
    Washington Post ^ | 01/10/2014 | By Juliet Eilperin and Amy Goldstein
    The Obama administration has decided to jettison CGI Federal, the main IT contractor that was responsible for building the defect-ridden online health insurance marketplace and has been immersed in the work of repairing it. Federal health officials are preparing to sign a 12-month contract worth roughly $90 million, probably early next week, with a different company, Accenture, after concluding that CGI has not been effective enough in fixing the intricate computer system underpinning the federal Web site, HealthCare.gov. Accenture, which is one of the world’s largest consulting firms, has extensive experience with computer systems on the state level, and it...
  • Obamacare Contractor Blamed for Slow Medicare Payments to Hospitals (Employees not being paid)

    01/02/2014 6:11:31 AM PST · by rawhide · 22 replies
    Weekly Standard ^ | 1-2-14 | By JERYL BIER
    The contractor building the financial management system for Healthcare.gov is being blamed by a Houston hospital for delayed Medicare reimbursements that have caused the hospital to miss payrolls for weeks. Novitas Solutions is the federal government's new Medicare payment processor for the south-central region of the country hired by the Centers for Medicare and Medicaid Services (CMS), a division of the Department of Health and Human Services (HHS.) ABC-KTRK in Houston reports: According to the CEO Jason Leday, more than 150 employees haven't been paid in nearly a month. "I understand that they have children and a house payment, bills....
  • Official in charge of Obamacare website suddenly retiring

    12/30/2013 5:02:34 PM PST · by lowbridge · 50 replies
    nypost.com ^ | december 30, 2013 | s.a. miller
    A top Obama administration official in charge of the disastrous rollout of HealthCare.gov has suddenly decided to retire, the Centers for Medicare and Medicaid Services (CMS) announced Monday. Michelle Snyder, the chief operating officer at CMS is calling it quits just three months after she oversaw the failed ObamaCare launch Oct. 1. Still, CMS Administrator Marilyn Tavenner, who announced Snyder’s departure in an e-mail to colleagues, heaped praise upon the 41-year agency veteran. Tavenner called Snyder a “key member” of CMS’ leadership team and urged coworkers to “celebrate Michelle’s dedication to a mission that provides vital health care services to tens of millions of our fellow...
  • News dump: CMS official in charge of HealthCare.gov retiring

    12/31/2013 5:19:53 AM PST · by SeekAndFind · 4 replies
    Hotair ^ | 12/31/2013 | Mary Katherine Ham
    This is how you take your lumps in the Obama administration. Botch the roll-out of the president’s legacy law so badly that you end up with three million fewer insured people than when we started, and you get to retire, announce it over a holiday weekend, and grab that juicy pension for 41 years of mediocre-to-disastrous public service. The person tasked with overseeing the development of HealthCare.gov is retiring, the administrator of the Centers for Medicare and Medicaid Services said Monday.The departure of Michelle Snyder, the chief operating officer at CMS who’s been in public service for 41 years, comes...
  • Obamacare’s homecare cuts to hit sick and old New Years Day

    12/12/2013 10:37:30 AM PST · by 2ndDivisionVet · 27 replies
    The Daily Caller ^ | December 12, 2013 | Christopher Bedford
    Starting Jan. 1, the Centers for Medicare and Medicaid Services (CMS) will begin slashing 14 percent of their Home Health Care Prospective Payment Program budget, driving small home health-care providers out of business and potentially affecting millions of poor, elderly citizens in need of physical rehabilitation. The cuts — which are being made to fund Obamacare — will slash the homecare budget 3.5 percent every year for the next four. “By CMS’s own calculation, 40 percent or nearly 5,000 home health companies — mainly small businesses — will experience a “net loss” in revenue due to the cuts and go...
  • Doctors and Hospitals risk losing millions by treating ObamaCare patients

    12/11/2013 9:37:40 AM PST · by Oldpuppymax · 9 replies
    Coach is Right ^ | 12/11/13 | Doug Book
    Yet another calculated, ObamaCare assault on healthcare providers has been ferreted out of the 2700 impenetrable pages (plus revisions) of Barack Obama’s signature achievement. Doctors and hospitals nationwide can already expect to be paid a pittance for their services to ObamaCare patients. And now, yet another financial blow to providers has been discovered. “The Affordable Care Act created a 90-day grace period before insurers can drop policy holders who fall behind on premiums. So, delinquents who obtain tax-subsidized health insurance through an Obamacare health insurance exchange have three months to settle up their bills prior to their policy being canceled.”...
  • Seniors lose insurance and doctors under Obamacare [Thank you, AARP /sarc]

    11/08/2013 6:43:37 PM PST · by markomalley · 47 replies
    The Daily Caller ^ | 11/8/2013 | Evan Gahr
    Retired chemist Edward Schokowitz was incredulous when he received a letter from Horizon Blue Cross Blue Shield of New Jersey early last month saying his Medicare Advantage Plan, which had no premium, would be eliminated next year.“They took all the senior citizens and threw us out of the plan. They now want to give us the same plan for $153 [per month],” he told the Daily Caller. “The President said you can’t be kicked out of your plan. He lies.”Schokowitz is one of many Medicare beneficiaries now learning that — like Americans who buy insurance on the individual market —...
  • Ex-official, gov candidate defends Obamacare law

    11/07/2013 9:32:39 PM PST · by Tailgunner Joe · 1 replies
    bostonherald.com ^ | November 8, 2013 | Gary J. Remal
    The Bay State doc who once headed the federal agency behind the chaotic Obamacare rollout — and now running for governor — 
defended the beleaguered program on Boston Herald Radio yesterday and dodged questions about whether President Obama lied. “Obamacare is far from a complete disaster. It’s a real step forward for the country,” insisted Don Berwick, a pediatrician and Democratic candidate who in 2010 and 2011 headed the U.S. Centers for Medicare & Medicaid Services. He sparred with “Morning Meeting” hosts Hillary Chabot, Tom Shattuck and Jaclyn Cashman over Obama­care. “There are apparently people, I gather, who cannot keep...
  • Sebelius says Obamacare enrollment ‘very low’

    11/06/2013 12:17:18 PM PST · by Olog-hai · 18 replies
    Politico ^ | 11/6/13 2:59 PM EST | Jennifer Haberkorn and Jason Millman
    Health and Human Services Secretary Kathleen Sebelius today acknowledged that long-awaited enrollment figures for the rocky first month of Obamacare will be “very low.” … The Centers for Medicare and Medicaid Services also announced the abrupt retirement of the chief information officer—the first high-level departure since the botched HealthCare.gov launch on Oct 1. CIO Tony Trenkle is leaving Nov. 15 for a job in the private sector, CMS said. His deputy, Henry Chao, has been identified as a liaison to key contractors who built HealthCare.gov as well as the official who briefed the White House monthly on implementation. The CMS...
  • $1.1T: CMS Sets Record for Annual Spending by a Federal Agency

    11/04/2013 9:44:48 PM PST · by Olog-hai · 4 replies
    Cybercast News Service ^ | November 4, 2013 - 5:24 PM | Terence P. Jeffrey
    The Centers for Medicare and Medicaid Services, which runs the federal government’s major health-care programs as well as the Obamacare insurance exchange, spent $1,113,178,000,000 in fiscal 2013, according to the Monthly Treasury Statement for September, which was released last week. That sets a record for the most money ever spent by a federal agency or department in a single year. It also means CMS spent more in inflation-adjusted dollars than the entire federal government spent in 1965, when President Lyndon Johnson signed the legislation creating the Medicaid and Medicare programs. …
  • Obamacare website failed in tests just before launch date

    10/31/2013 5:39:02 AM PDT · by Oldeconomybuyer · 22 replies
    CBS News ^ | October 30, 2013 | BySharyl Attkisson
    CBS News has learned the website failed with a small test pool of 200 to 300 people that included employees from the government and insurance companies. CMS employees were provided fake personal information to enter into HealthCare.gov rather than their own data and were given a date that testing would begin. However, on that date, the employees were told it was being postponed. When the testing finally took place in late September, the testers started trying to create an application. Just a couple of pages into the process, everything "ground to a stop," said one source. "It froze. It couldn't...
  • Health Site Chief Expects Low Initial Enrollment Number

    10/29/2013 5:22:16 PM PDT · by Oldeconomybuyer · 8 replies
    New York Times ^ | October 29, 2013 | By Robert Pear
    Marilyn B. Tavenner, the official in charge of President Obama’s health insurance marketplace, apologized on Tuesday to millions of Americans who have been frustrated in trying to buy insurance under the new health care law. She repeatedly refused to say how many of those people had actually enrolled in health insurance plans since the federal and state marketplaces, or exchanges, opened on Oct. 1. “That number will not be available until mid-November,” Ms. Tavenner said. “We expect the initial number to be small.”
  • CMS Administrator on Obamacare: ‘We Have a System That’s Working'

    10/29/2013 10:18:14 AM PDT · by Nachum · 16 replies
    Cybercast News Service ^ | 10/29/13 | Melanie Hunte
    Marilyn Tavenner, administrator of the Centers for Medicare and Medicaid Services (CMS), testified before the House Ways & Means Committee on Tuesday that the Obamacare enrollment system is “working.” “So what I can guarantee is we have a system that’s working. We’re gonna improve the speed of that system,” she said at the hearing on Obamacare enrollment. The Obamacare website, healthcare.gov, has been rife with problems for those trying to enroll in the health care insurance program. Rep. Kevin Brady (R-Texas) had asked Tavenner if she could guarantee that “no American will experience a gap in their health care.” Brady...
  • [Live Thread] Lawmakers Updated on Health Law Implementation (House Energy & Commerce)

    10/24/2013 6:18:33 AM PDT · by Whenifhow · 59 replies
    http://www.c-span.org/ ^ | October 24, 2013 | C-span
    House Energy and Commerce Committee Chairman Fred Upton (R-MI) holds a hearing on implementation of the Patient Protection and Affordable Care Act and its challenges since the October 1 opening of health care exchanges.
  • Democrats downplay significance of ObamaCare website problems

    10/23/2013 3:14:39 PM PDT · by Tailgunner Joe · 7 replies
    thehill.com ^ | October 23, 2013 | Elise Viebeck
    House Democrats downplayed the significance of problems facing ObamaCare's enrollment system after their first post-rollout meeting with administration officials. Democratic lawmakers appeared upbeat after leaving a presentation from Gary Cohen, a key figure in ObamaCare's implementation at the Centers for Medicare and Medicaid Services (CMS). "We didn't work our hearts out for a website," said Rep. Jan Schakowsky (D-Ill.), quoting House Minority Leader Nancy Pelosi (D-Calif.). "The route in, that's a technical issue that we think is being solved," Schakowsky said. There was also no discussion of delaying ObamaCare's individual mandate, according to members — a possibility that's been floated...
  • Government Seeking Inclusion of ‘Social and Behavioral’ Data in Health Records [more spying]

    09/14/2013 5:55:21 AM PDT · by upchuck · 25 replies
    freebeacon ^ | 9.13.2013 | Elizabeth Harrington
    The Centers for Medicare and Medicaid Services (CMS) wants to require health care providers to include “social and behavioral” data in Electronic Health Records (EHR) and to link patient’s records to public health departments, it was announced last week. Health care experts say the proposal raises additional privacy concerns over Americans’ personal health information, on top of worries that the Obamacare “data hub” could lead to abuse by bureaucrats and identify theft.The CMS currently covers 100 million people through Medicare, Medicaid, and the Children’s Hospital Insurance Program and is tasked with running Obamacare.According to a solicitation posted by the Department...
  • Political intelligence firms set up investor meetings at White House

    05/27/2013 1:58:49 AM PDT · by Brad from Tennessee · 12 replies
    Washington Post ^ | May 26, 2013 | By TOM HAMBURGER
    Wall Street investors hungry for advance information on upcoming federal health-care decisions repeatedly held private discussions with Obama administration officials, including a top White House adviser helping to implement the Affordable Care Act. The private conversations show that the increasingly urgent race to acquire“political intelligence” goes beyond the communications with congressional staffers that have become the focus of heightened scrutiny in recent weeks. White House records show that Elizabeth Fowler, then a top ­health-policy adviser to President Obama, met with executives from half a dozen investment firms in 2011 and 2012. Among them was Kris Jenner, a stock picker with...
  • Medicare Advantage patients could see bills rise next year

    04/01/2013 4:08:26 PM PDT · by Jean S · 17 replies
    CNN ^ | 4/1/13 | Jen Christensen,
    (CNN) -- Millions of Americans who get their health insurance through the Medicare Advantage plan could soon be paying more for coverage, according to an announcement expected Monday. The Centers for Medicare and Medicaid Services (CMS) will announce on Monday the final Medicare Advantage rates for 2014, which are expected to be cut, saving the government money -- but potentially costing the public more.CMS had initially proposed a 2.3% reduction in what the government pays the insurance companies that provide the plans. Upset by that scenario, the insurance companies have spent the public comment period time lobbying legislators and running...
  • Stunner: ObamaCare-supporting Congressman suddenly not so sure you can keep your insurance after all

    02/22/2013 10:15:46 AM PST · by SeekAndFind · 13 replies
    Hotair ^ | 02/22/2013 | Ed Morrissey
    Are you as shocked as Rep. Eliot Engel (D-NY)? Somehow, I rather doubt it, and I don’t think Jason Mattera is as surprised as the front-page pic suggests, either. Confronted with the new CBO analysis that shows more than seven million Americans will lose their present health-insurance coverage from ObamaCare despite his repeated assertions that no one would lose their coverage, Rep. Engel tells Jason in this Andrea Tantaros Show video debuting exclusively at Hot Air that Congress can always go back and fix what's not working.Funny --- Jason doesn't recall that being mentioned as an option, and neither do...
  • Here Comes The Boom: CMS Slashes Medicare Advantage; 'Disarray For Many Seniors'

    02/21/2013 5:41:43 PM PST · by Lorianne · 7 replies
    Forbes ^ | 19 February 2013 | Avik Roy
    Though Democrats denied it during the 2012 campaign, Obamacare cut Medicare by $716 billion in order to partially fund $1.9 trillion in new entitlement spending over the next ten years. A big chunk of those Medicare cuts came from the market-oriented Medicare Advantage program. Cleverly, the Obama administration postponed the Medicare Advantage cuts until after the election, so as to persuade seniors that everything would be just fine. But the election is over. On Friday, the administration announced that it would be significantly reducing funding for the popular program. Obama’s proposal, according to one analyst, “would turn almost every plan...
  • Doctors: Your New Medicare Payment Schedule Released: Tell Us What You Think?

    07/10/2012 10:20:23 AM PDT · by maggiesnotebook · 10 replies
    Maggie's Notebook ^ | 7-10-12 | Maggie@Maggie'sNotebook
    This week, the Center for Medicare & Medicaid Services (CMS) released a "proposed" rule updating what Doctors and Hospitals will be paid under ObamaCare. The Medicare Physician Fee Schedule (MPFS) ushers-in changes to the "Physician Quality Reporting System," and makes changes to the "Physician Value-Based Payment Modifier." Considering that Obama and Democrats in Congress cut $500 Billion from Medicare, I would love to hear Physicians weigh-in on this "proposed rule." Under the MPFS, a relative value is assigned to each of more than 7,000 types of services to capture the amount of work, the direct and indirect (overhead) practice expenses,...
  • Obama Gives Up, Nominates Tavenner To head CMS

    11/23/2011 10:45:47 AM PST · by Nachum · 8 replies
    Yahoo ^ | 11/23/11 | Maggie Fox
    President Obama said on Wednesday he plans to nominate Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services to replace Dr. Donald Berwick, who has never won the support of Congress. Obama sidestepped the traditional confirmation process in July 2010 to make a recess appointment of Berwick. Tavenner, Berwick's principal deputy, was the Virginia secretary of health and human resources. "Before entering government service, Ms. Tavenner spent nearly 35 years working with healthcare providers in significantly increasing levels of responsibility, including almost 20 years in nursing, 3 years as a hospital CEO and 10 years in various...
  • Looks like CMS is giving away $1B of Medicare Trust Fund Money

    11/15/2011 4:54:52 PM PST · by boldtruth11 · 12 replies
    CMS.gov ^ | Nov 15, 2011 | unknown
    "The Health Care Innovation Challenge will award up $1 billion in grants to applicants who will implement the most compelling new ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and CHIP, particularly those with the highest health care needs." "Awards will range from approximately $1 million to $30 million for a three-year period. Applications are open to providers, payers, local government, public-private partnerships and multi-payer collaboratives."
  • The Golden Years Of AARP

    03/31/2011 5:31:47 PM PDT · by Kaslin · 9 replies
    IBD Editorials ^ | March 31, 2011 | Staff
    Health Reform: The tax-exempt seniors group that pushed hard to get ObamaCare passed stands to reap a billion-dollar reward over the next decade as ObamaCare destroys the competition to the products it endorses. During what passed for a debate on ObamaCare, the Centers for Medicare and Medicaid Services (CMS), which administers benefits under Medicare, issued what can only be called a gag order after private insurer Humana Inc. warned its Medicare Advantage customers in a letter that ObamaCare might cause them to lose some benefits. It was because that letter exposed one of Obama-Care's biggest lies — the claim that...
  • CMS Puts 2012 Medicare Fee Cut at Nearly 30 Percent

    03/11/2011 7:24:24 AM PST · by MikeNJ · 11 replies · 1+ views
    MedPage Today ^ | Emily P. Walker
    WASHINGTON -- The Centers for Medicare and Medicaid Services (CMS) has estimated that in 2012 Medicare physician reimbursement will be cut by 29.5%. When President Obama signed a bill in 2010 to postpone the scheduled 25% cut in Medicare reimbursement through 2011, physicians were aware that the pay cut would be greater than 25% come 2012. And, if CMS' estimate holds true, it will be.
  • White House ‘Stands Firmly Behind’ Controversial Medicare Chief Appointee Donald Berwick

    03/10/2011 1:29:29 PM PST · by jazusamo · 6 replies
    CNSNews ^ | March 10, 2011 | Fred Lucas
    Washington (CNSNews.com) – The Obama administration is standing “firmly” behind the nomination of Dr. Donald Berwick -- who was recess-appointed without Senate confirmation last summer to run Medicare and Medicaid -- despite growing Republican opposition because of his controversial comments, such as the remark that a “civilized and humane” health care funding plan “must redistribute wealth.” “The president stands firmly behind the nomination of Don Berwick because he’s far and away the best person for the job, and he’s already doing stellar work at CMS saving taxpayer dollars by cracking down on fraud, and implementing delivery system reforms that...
  • Democrats Abandon Donald Berwick's Nomination to Top Medicare and Medicaid Post

    03/05/2011 2:19:49 PM PST · by jazusamo · 10 replies
    The Weekly Standard ^ | March 5, 2011 | Jeffrey H. Anderson
    According to Politico , President Obama will be forced to abandon his controversial nomination of Donald Berwick as the administrator of the Centers for Medicare and Medicaid Services (CMS). Politico reports that “Senate Democrats have given up on confirming Don Berwick as CMS administrator in the wake of a letter from 42 Republican senators opposing the nomination,” as “there's no way for Berwick to get the 60 votes needed to clear the Senate.” As with his various “czars,” President Obama had previously circumvented the Senate confirmation process (despite having a Democratically controlled Senate) to install Berwick in his post....
  • CMS Official Confirms That Four States Have Been Granted ObamaCare Waivers

    02/16/2011 8:36:14 AM PST · by Nachum · 48 replies
    American Spectator ^ | 2/16/11 | Philip Klein
    An Obama administration official on Wednesday confirmed that four states -- including Florida, Tennessee and Ohio -- have been granted waivers from the regulatory requirements of the national health care law. Steve Larsen, director of the Center for Consumer Information and Insurance Oversight (CCIIO) at the Centers for Medicare and Medicaid Services, confirmed the news under questioning from Rep. Cliff Stearns at an oversight hearing for the House Energy and Commerce committee.
  • Death Panels And Job Losses

    02/11/2011 4:18:37 PM PST · by Kaslin · 5 replies
    IBD Editorials ^ | February 11, 2011 | Staff
    Reform: As the head of Medicaid and Medicare services testifies in favor of ObamaCare, the CBO director says it will destroy 800,000 jobs. Talk about killing two birds with one stone. Former House Speaker Nancy Pelosi once famously said that we'd have to pass ObamaCare to see what was in it. She also boasted that the health care bill would create 4 million jobs — "400,000 of them almost immediately." Now that we've seen what's in it, we realize the possible consequences for our physical and economic health. And congressional testimony before GOP-led committees has given us fresh reasons for...
  • Sen. Rand Paul: Medicare Chief Berwick Is Qualified to Run Health Care System -- In...

    01/28/2011 11:08:23 AM PST · by jazusamo · 7 replies
    CNSNews ^ | January 28, 2011 | Fred Lucas
    Complete title: Sen. Rand Paul: Medicare Chief Berwick Is Qualified to Run Health Care System -- In England or Sweden (CNSNews.com) – Sen. Rand Paul (R-Ky.) said that Dr. Donald Berwick, re-nominated this week by President Obama to head the Centers for Medicare and Medicaid Services (CMS), is qualified to oversee a nationwide health care system in England or Sweden.“I think Don Berwick would be a great head of health care in maybe England or Sweden or something,” Paul, an ophthalmologist, told CNSNews.com about Berwick, a pediatrician. “He said he admires the British system, so I think maybe we should...
  • A Triple Threat to Patients [New GOP Congress needs to pull plug on TAP, CER, & Berwick]

    10/25/2010 4:48:29 PM PDT · by rhema · 5 replies
    Anmerican Spectator ^ | 10/25/10 | Robert M. Goldberg
    If and when a new Congress comes in, the fastest way to eliminate Obamacare will be by shutting down its "operating system" the Centers for Medicare and Medicare Services and investigating its unconfirmed director, Donald Berwick. And it should start by pulling the plug on Berwick's Triple Aim Program and the billions of dollars he has for implementing it. The Triple Aim Program (TAP) focuses on "improving the patient experience, improving population health and lowering per capita health care costs." Berwick claims that all three are achievable not through consumer driven healthcare. In various speeches and slide presentations, Berwick claims...
  • Health Care Groups to Congress: De-Fund Medicare Chief Who Advocated Rationing

    10/05/2010 5:33:58 PM PDT · by jazusamo · 2 replies
    CNSNews ^ | October 5, 2010 | Fred Lucas
    (CNSNews.com) – A coalition of health care groups is urging Congress to withhold money for implementing the new health care law as a means of forcing the controversial new Medicare chief – who bypassed the Senate confirmation process through a recess appointment – to at least answer questions from members of the coalition.Marking three months since President Barack Obama recess-appointed Dr. Donald Berwick to be administrator of the Center for Medicare and Medicaid Services (CMS), six groups sent a letter to members of Congress about Berwick, who has openly advocated the rationing of health care and argued that “humane”...
  • Death Panels Begin As Reform Takes Shape

    08/18/2010 4:52:33 PM PDT · by Kaslin · 20 replies
    IBD Editorials ^ | August 18, 2010 | Investors Business Daily staff
    Medicine: After the recess appointment of a Medicare and Medicaid head, an FDA panel drops its endorsement of a widely used cancer drug. Another FDA-approved cancer therapy may not be paid for. It begins. It didn't take long for the health care philosophy of Dr. Donald Berwick, President Obama's choice to head the Centers for Medicaid and Medicare Services, and an appointee we have labeled a "one-man death panel," to have an effect. Berwick is an admirer of Britain's National Health Service and its National Institute for Clinical Excellence, with the Orwellian-acronym NICE. "NICE," Berwick has said, "is extremely effective...
  • Those “Medicare Trustees” (Mostly Obama's Cabinet People)

    08/09/2010 8:44:08 PM PDT · by goods · 6 replies
    www.yossigestetner.com ^ | 8/9/2010 | Yossi Gestetner
    When people read words such as “Congressional Budget Office,” or “Center for Medicare and Medicaid Services (CMS),” they assume that these are agencies in Washington run by people who have nothing with partisan politics. Therefore, it was welcome news that “the Trustees of the CMS reported that Medicare got twelve more years of life due to Health Care Reform (HCR).” Few however know that the following people are The Trustees: •Timothy F. Geithner, Secretary of the Treasury •Hilda L. Solis, Secretary of Labor •Kathleen Sebelius, Secretary of Health and Human Services •Michael J. Astrue, Commissioner of Social Security •Donald M....
  • Those “Medicare Trustees” (Mostly Obama's Cabinet People)

    08/09/2010 8:44:07 PM PDT · by goods · 1 replies
    www.yossigestetner.com ^ | 8/9/2010 | Yossi Gestetner
    When people read words such as “Congressional Budget Office,” or “Center for Medicare and Medicaid Services (CMS),” they assume that these are agencies in Washington run by people who have nothing with partisan politics. Therefore, it was welcome news that “the Trustees of the CMS reported that Medicare got twelve more years of life due to Health Care Reform (HCR).” Few however know that the following people are The Trustees: •Timothy F. Geithner, Secretary of the Treasury •Hilda L. Solis, Secretary of Labor •Kathleen Sebelius, Secretary of Health and Human Services •Michael J. Astrue, Commissioner of Social Security •Donald M....
  • HOW DR. BERWICK WILL CONTROL YOUR DOCTOR AND YOU

    07/19/2010 8:52:32 AM PDT · by Patriot1259 · 19 replies
    The Cypress Times | 7/19/10
    Barack Obama’s recess appointment of Dr. Donald Berwick as head of the Center for Medicare and Medicaid Services (CMS) marks a new low in his destructive presidency, and that is saying something!
  • The President's One-Man Death Panel

    07/08/2010 4:56:19 PM PDT · by Kaslin · 23 replies
    IBD Editorials ^ | July 8, 2010 | Investors Business Daily staff
    Health Care: The president recess-appoints a fan of rationing and Britain's National Health Service to direct one-third of American health care. Why does the administration want his views hidden from scrutiny? 'The decision is not whether or not we will ration care — the decision is whether we will ration with our eyes open." That's what Dr. Donald Berwick, President Obama's nominee to head the Centers for Medicaid and Medicare Services, told a National Institutes of Health publication a year ago, when he was just president and CEO of the Institute for Health Care Improvement. Such views were to be...