Latest News On CMS

Latest KFF Health News Stories

Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill

KFF Health News Original

A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.

Medicare Cuts Payment to 774 Hospitals Over Patient Complications

KFF Health News Original

Renowned medical centers are among the quarter of general hospitals that will lose 1% of Medicare payments for one year because their patients have high rates of bedsores, sepsis and other preventable complications.

KHN’s ‘What the Health?’: The Long Road to Unwinding Trump Health Policies

KFF Health News Original

President Joe Biden signed a pair of health-related executive orders this week that would, among other things, reopen enrollment under the Affordable Care Act and start to reverse former President Donald Trump’s anti-abortion policies. Meanwhile, Congress remains bogged down with taking up the next round of covid-19 relief. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists recommend their favorite health policy stories of the week they think you should read, too.

Feds Approve Fractious Georgia Plan to Change ACA Marketplace

KFF Health News Original

Under the plan pushed by Gov. Brian Kemp, the healthcare.gov website will no longer provide options for Georgia starting next fall, and consumers will need to rely on private brokers, insurance companies, agents and commercial websites.

Medicare Fines Half of Hospitals for Readmitting Too Many Patients

KFF Health News Original

The penalties are the ninth round of a program created as part of the Affordable Care Act’s broader effort to improve quality and lower costs. The average reduction in federal payments is 0.69%, with 613 hospitals receiving a penalty of 1% or more.

The Trump Medicaid Record: Big Goals, Yet Few Successes

KFF Health News Original

The Trump administration sought to shrink the federal-state health program for low-income Americans and give states more flexibility. But Democrats and the courts thwarted most of those efforts.

KHN’s ‘What the Health?’: It’s Scandal Week

KFF Health News Original

President Donald Trump this week issued a prescription drug pricing order unlikely to lower drug prices, and he contradicted comments by his director of the Centers for Disease Control and Prevention on the need for mask-wearing and predictions for vaccine availability. Meanwhile, scandals erupted at the CDC, the Centers for Medicare & Medicaid Services and the Food and Drug Administration. And the number of people without health insurance grew in 2019, reported the Census Bureau, even while the economy soared. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss this and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

HHS Plan to Improve Rural Health Focuses on Better Broadband, Telehealth Services

KFF Health News Original

The proposal details a wide-ranging agenda to remedy the gaps in health care and myriad challenges in rural America. In addition to more telehealth options, it includes shifts in hospital payments and expanded funding for school-based mental health programs.

The Nation’s 5,000 Outpatient Surgery Centers Could Help With The COVID-19 Overflow

KFF Health News Original

A coalition of anesthesiologists wants to repurpose the country’s more than 5,000 surgery centers to serve as emergency overflow amid the coronavirus pandemic. The centers have trained medical staff largely sitting idle, anesthesia machines that could be turned into ventilators, and empty medical space. But obstacles such as federal payment rules, logistics and some skepticism are getting in the way.