Providers and states are looking for ways to change the way they are being paid, while CMS comes under fire for not doing the best job in providing guidance on what they should be paid, even if they are following the rules.
- "KHN’s ‘What The Health?’: Tennessee Seeks Medicaid Changes" Tennessee announced this week that it hopes to become the first state to take the Trump administration up on its offer to transform funding for its Medicaid program into a block grant. Article
- "Hospitals win challenge to site-neutral pay cuts" A Washington, D.C., federal judge ruled Sept. 17 that CMS overstepped its authority last year when it expanded a site-neutral pay policy that cut Medicare payments for hospital outpatient visits by hundreds of millions of dollars. Article
- "CMS not appropriately tracking quality measure spending, objectives, GAO finds" CMS carries over large amounts of funding available each year for programs measuring Medicare care quality and could devote more resources to tracking those programs because it "lacks complete information on its quality measurement funding and how it uses funding to achieve its strategic goals," according to a report from the U.S. Government Accountability Office. Article