Tag Archives: Centers for Medicare & Medicaid Services

CMS threatens to bar Modern Healthcare from press calls after reporter refuses to alter story

Felice J. Freyer

About Felice J. Freyer

Felice J. Freyer is AHCJ's vice president a member of the association's Finance and Development Committee and chair of the organization's Right to Know Committee. She is a health care reporter for The Boston Globe.

Virgil Dickson

The Centers for Medicare & Medicaid Services threatened to ban a reporter from participating in the federal agency’s telephone news conferences after he refused to delete three sentences from a published story that apparently had rankled CMS Administrator Seema Verma.

The reporter — Virgil Dickson, Washington bureau chief for Modern Healthcare — believed the agency was making good on its threat on Thursday when, he said, his phone went mute during a CMS press call and a woman’s voice told him he was not allowed to participate. An editor later confirmed with CMS officials that he had been banned from press calls, Dickson said. Continue reading

CMS moves into the future, and looks back

Rebecca Vesely

About Rebecca Vesely

Rebecca Vesely is AHCJ's topic leader on health information technology and a freelance writer. She has written about health, science and medicine for AFP, the Bay Area News Group, Modern Healthcare, Wired, Scientific American online and many other news outlets.

Andy Slavitt

Andy Slavitt

As we cover leadership changes at the federal Centers for Medicare and Medicaid Services (CMS), it is worth reflecting on the advancements at the federal agency in recent years – especially its increased focus on health information technology.

The CMS oversees the Medicare and Medicaid programs, but its duties expanded over the past decade to include greater access to health information online, and to spurring technology innovation in the health sector.

Technology was a focus of outgoing Acting Administrator Andy Slavitt’s prepared final remarks to the CMS staff, delivered Thursday morning. Continue reading

AHCJ webcast will address how payers, providers are implementing bundled payment

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

bundled-payment-webcastLate last month we wrote about criticism leveled at the federal government’s latest bundled payment proposal.

Since then, other experts have come forward to criticize not only the Comprehensive Care for Joint Replacement (CCJR) proposal announced last month, but also the Bundled Payments for Care Initiative (BPCI) program that began in April 2013. Both programs come from the federal Centers for Medicare & Medicaid Services.

You can find detailed criticism of CCJR from Harold Miller, president of the Center for Healthcare Quality and Payment Reform, on the CHQPR’s blog, and from Suzanne Delbanco, executive director of Catalyst for Payment Reform, and Francois de Brantes, executive director of the Health Care Incentives Improvement Institute (HCI3), on the Health Affairs blog. For an explanation of how CMS can improve the BPCI program, see this HCI3 blog post from de Brantes. Continue reading

Add context to your reporting by recalling who Medicaid actually serves

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at healthjournalism.org. She welcomes questions and suggestions on health reform resources and tip sheets at joanne@healthjournalism.org. Follow her on Facebook.

Photo: Sheila Steele via Flickr

Photo: Sheila Steele via Flickr

Here is an article that stood out amid the tidal wave of media coverage of Medicare and Medicaid’s 50th anniversary this year. It’s a piece about why Medicaid matters, posted on the Health Affairs blog.

As you read, keep in mind that the article is written by two people who strongly support the program: former Denver Health Chief Executive Patricia Gabow, who serves on the Medicaid and CHIP Payment and Access Commission and on the National Governors’ Association Health Advisory Board, and former Senate Democratic Leader Tom Daschle. It is not, by and large, a critique. Continue reading

Reporting team scrutinizes Medicare Advantage

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.

Fred Schulte

Fred Schulte

The Center for Public Integrity’s series unearthing potential fraud and waste under the Medicare Advantage program had little help — and apparently little interest — from the Centers for Medicare & Medicaid Services. The insurance program, which Congress established to help control health care costs for older adults, could leave taxpayers on the hook for more than $36 billion, as AHCJ member Fred Schulte and the rest of the investigative team uncovered.

In this “How I did it” article, Schulte explains how the series follows up on CPI’s 2012 Medicare costs investigation, the extensive lengths taken to try to obtain CMS records, work-arounds and other sources the team used to piece together a puzzle that paints a clear picture of improper billing, missed opportunities by regulators, lack of oversight, and industry influence.