CMS

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The Biden Administration Announces a New Model to Improve Cancer Care for Medicare Patients

On Monday, June 27, 2022 the Biden Administration announced a new model aimed at improving cancer care for Medicare patients and lowering health care costs. CMS’ Center for Medicare and Medicaid Innovation designed the Enhancing Oncology Model (EOM) to test how to improve health care providers’ ability to deliver patient-centered care and consider patients’ unique needs. The model will focus on supporting patients, caregivers, and survivors, while addressing inequities and providing patients with treatments that address their individual needs.

Short URL: http://www.advancingstates.org/node/73997

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2020 Medicaid Managed Care Enrollment and Program Characteristics

On Monday, June 13, 2022 CMS released the 2020 Medicaid Managed Care Enrollment and Program Characteristics and Data Tables. This national data is broken down by program, population, and individual state. The enrollment data provides a snapshot of Medicaid managed care enrollment as of July 1, 2020.

Short URL: http://www.advancingstates.org/node/73974

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Consistency of preventive care among Medicare beneficiaries: a longitudinal analysis using data from the 2016–2019 Medicare Current Beneficiary Survey

CMS has released a new data highlight on Consistency of Preventive Care Among Medicare Beneficiaries. The data highlight uses data from the Medicare Current Beneficiary Survey to analyze adherence to flu shot and breast cancer screening guidelines among Medicare beneficiaries between 2016 and 2019. The data highlight breaks this information down to look at the rates among different demographic groups.

Short URL: http://www.advancingstates.org/node/73970

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Updated 2022 SSI and Spousal Impoverishment Standards

This CMCS informational bulletin provides an update on the 2022 Supplemental Security Income (SSI) and Spousal Impoverishment Standards. Certain Medicaid income and resource standards are adjusted annually in accordance with changes in the SSI federal benefit rate (FBR) and the Consumer Price Index (CPI). These include some of the standards described in section 1924 of the Social Security Act, which describes the financial eligibility rules that apply when married individuals seek coverage of certain long-term services and supports. Included with this informational bulletin is the revised 2022 SSI and Spousal Impoverishment Standards chart that displays the updated MMMNA and Community Spouse Monthly Housing Allowances.

Short URL: http://www.advancingstates.org/node/73955

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CMS Announces User-Friendly Medicare Website

On May 18, 2022 CMS announced several updates to the Medicare.gov website that make it easier for millions of people to access information to compare and select health and drug coverage and find providers. The updated website features timely initiatives and messages on the homepage and highlights key tasks and information most frequently sought by people with Medicare, people nearing Medicare eligibility, and their families.

Short URL: http://www.advancingstates.org/node/73933

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Disparities in Health Care in Medicare Advantage by Race, Ethnicity, and Sex

This report from CMS presents information on disparities in health care received by people using Medicare Advantage. The report looks at differences in quality of care based on race and ethnicity and sex as well as the intersections of race/ethnicity and sex. CMS uses data from the Consumer Assessment of Healthcare Providers and Systems and the Healthcare Effectiveness Data and Information Set in this report.

Short URL: http://www.advancingstates.org/node/73888

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Medicare Program; Implementing Certain Provisions of the Consolidated Appropriations Act, 2021 and Other Revisions to Medicare Enrollment and Eligibility Rules

CMS has released a new proposed rule with several provisions related to dual eligible individuals and would impact states. The proposed rule includes provisions to: Limit retroactive Medicare Part B premium liability for states to 36 months, Retire the old stand-alone buy-in agreements and specify that the provisions of a state buy-in agreement shall be set forth in the state’s Medicaid state plan, Extend the Medicare Savings Programs (MSPs) to cover premiums and cost sharing for individuals enrolling in the new Medicare immunosuppressive drug benefit. CMS is currently requesting comments on the proposed rule.

Short URL: http://www.advancingstates.org/node/73876

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Biden-Harris Administration Announces a New Way for Medicare Beneficiaries to Get Free Over-the-Counter COVID-19 Tests

The Biden-Harris Administration has announced that more than 59 million Americans with Medicare Part B, including those enrolled in a Medicare Advantage plan, now have access to Food and Drug Administration (FDA) approved, authorized, or cleared over-the-counter COVID-19 tests at no cost. People with Medicare can get up to eight tests per month from participating pharmacies and health care providers for the duration of the COVID-19 pandemic.

Short URL: http://www.advancingstates.org/node/73787

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CMS Announces Funding to Strengthen Safety Net for Seniors and People with Disabilities

CMS has announced it will offer more than $110 million to expand access to home and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program. The new Notice of Funding Opportunity (NOFO) makes individual awards of up to $5 million available for more than 20 states and territories not currently participating in MFP. These funds will support initial planning and implementation to get the state/territory programs off the ground, which would ensure more people with Medicaid can receive high-quality, cost-effective, person-centered services in a setting they choose.

Short URL: http://www.advancingstates.org/node/73782

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