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1. How The Center For Medicare And Medicaid Innovation Should Test Accountable Care Organizations [Payment & Delivery] The Patient Protection and Affordable Care Act establishes a national voluntary program for accountable care organizations (ACOs) by January 2012 under the auspices of the Centers for Medicare and Medicaid Services (CMS). The act also creates a Center for Medicare and Medicaid Innovation in the CMS. We propose that the CMS allow flexibility and tiers […]...
2. Building Regulatory And Operational Flexibility Into Accountable Care Organizations And ‘Shared Savings’ The Affordable Care Act created accountable care organizations (ACOs), which will be a new part of Medicare as of January 2012, together with a “shared savings program” that will modify how these organizations will be paid to care for patients. Accountable care organizations have the potential to lower costs, improve the quality of care, facilitate delivery […]...
3. Accountable Care Organizations: The Case For Flexible Partnerships Between Health Plans And Providers Under the Affordable Care Act, the new Center for Medicare and Medicaid Innovation will guide a number of experimental programs in health care payment and delivery. Among the most ambitious of the reform models is the accountable care organization (ACO), which will offer providers economic rewards if they can reduce Medicare’s cost growth in their […]...
4. Share of Cost, Medicare Doesn’t Work As Well For Younger, Disabled Beneficiaries As It Does For Older Enrollees [Web First] Medicare is not working as well for its eight million disabled beneficiaries under age sixty-five as it is for its older beneficiaries. We report on a 2008 survey that found significant differences between the two Medicare populations, with the younger group experiencing more problems of cost and access. Even with the Medicare Part D prescription […]...
5. A National Autistic Society Response To The Commission On The Funding Of Care And Support, UK The National Autistic Society (NAS) has welcomed the establishment of the Commission on the Funding of Care and Support today, but urged that it must consider how to fund support for those with lifelong conditions, such as autism, who are less able to save and pay for their social care…...
6. Memo To Innovation Center: ‘We’re So Glad You’re Here’ Why not leave us a note on any item you have related to our blog… Thanks....
7. National Center on Senior Transportation (NCST) Small Grant Program – Application Deadline December 16 NCST has announced grants to develop or expand community collaboratives that respond to the mobility needs of culturally and ethnically diverse older adult populations. The Center expects to make four to six awards of $10,000 to $20,000 each. Projects are for a maximum of six to nine months. Successful applicants will receive individually tailored technical assistance from the NCST. Only private, […]...
8. Share of Cost: 91 People Charged for Fraudulently Billing Medicare $295 Million Have you heard about last week’s arrests in a historic takedown by the Health Care Fraud Prevention and Enforcement Action Team (HEAT) Strike Force? This takedown happened in 8 cities and has resulted in charges against 91 defendants, including doctors, nurses, and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately […]...
9. Sec. Of State Clinton Stresses Importance Of Science And Innovation For Development “Innovation, science [and] technology must again become fundamental components of how we conduct development work,” Secretary of State Hillary Rodham Clinton told a “high-level meeting of international development and science experts” last week, SciDev.net reports…...
10. Share of Cost: Consumers Beware of Medicare Advantage Marketing Fraud Last week Julie Schoen, our California Senior Medicare Patrol (SMP) Project Director, spoke on Medicare fraud on a statewide press teleconference hosted by California’s Department of Managed Health Care (DMHC). Both agencies, DMHC and SMP, are committed to protecting beneficiairies from the sometimes malicious and fraudulent practices of a few insurance agents. While most agents […]...
11. U.S.-Funded Center To Improve Haitian Garment Manufacturing Opens In Haiti The U.S.-funded Haitian Apparel Center, which aims to train about 2,000 workers per year, was opened in the capital of Port-au-Prince on Wednesday, the Associated Press reports. The new center will help Haitian companies evolve from making “simple things, like sheets and T-shirts, to more complex garments,” according to U.S. Ambassador Kenneth Merten....
12. U.S. Department of Veterans Affairs (VA) Begins Pilot Programs to Speed Payments to Veterans with Disabilities U.S. Department of Veterans Affairs (VA) Begins Pilot Programs to Speed Payments to Veterans with Disabilities -The VA has launched two pilot programs to find new ways to speed up the payment of VA compensation benefits to Veterans with disabilities connected to their military service. The “Quick Pay” (QP) Disability Program and the “Express Lane” (EL) […]...
13. I lost (or dropped) my health care coverage. Can I buy a Medicap policy? I lost (or dropped) my health care coverage. Can I buy a Medicap policy? ...