CMS

Population Health Management Tool Improves Primary Care Outcomes in VBC Model

October 12, 2022 - A new study conducted by health information exchange (HIE) HEALTHeLINK and the Milbank Memorial Fund has found that a population health management and analytics tool contributed to better patient outcomes in primary care practices enrolled in the Centers for Medicare and Medicaid Services (CMS) Comprehensive Primary Care Plus (CPC+) program. CPC+...


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Medicare Data Inaccuracies Hinder Health Disparity Assessment

by Shania Kennedy

A new report published by the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) has found that race and ethnicity data gathered as part of Medicare enrollment are...

Maryland Implements New eCQM Data Reporting Initiative

by Shania Kennedy

Maryland has partnered with its state-designated health information exchange (HIE), called CRISP, and healthcare data management company Medisolv to implement an initiative that would require all...

CMS Announces Winner of Artificial Intelligence Challenge

by Jessica Kent

CMS has announced ClosedLoop.ai as the winner and Geisinger as the runner-up in its Artificial Intelligence Health Outcomes Challenge, a multi-stage competition that began in 2019. The AI Health...

Geisinger Chosen as Finalist in CMS Artificial Intelligence Challenge

by Jessica Kent

CMS has selected Geisinger as one of seven finalists in its Artificial Intelligence Health Outcomes Challenge. In collaboration with Medial EarlySign, the health system used artificial intelligence...

Partnership Maps Opioid Measures to Use State-Level Prescription Data

by Jessica Kent

The Pharmacy Quality Alliance (PQA) is partnering with the Chesapeake Regional Information System for our Patients (CRISP) to map four PQA opioid measures so the organizations can utilize...

Artificial Intelligence Saved Over $260M in Fraud, Waste in 2019

by Jessica Kent

Highmark Inc.’s Financial Investigations and Provider Review (FIPR) department has leveraged artificial intelligence to generate over $260 million in savings associated with fraud, waste, and...

Geisinger Advances in CMS Artificial Intelligence Challenge

by Jessica Kent

CMS has selected Geisinger and EarlySign, a machine learning company, for their joint proposal in the agency’s Artificial Intelligence Health Outcomes Challenge. The partnering organizations are...

CMS Requests Comments on Effective Use of Artificial Intelligence

by Jessica Kent

The Centers for Medicare and Medicaid Services issued a request for information seeking information on how to leverage artificial intelligence and other tools to ensure proper claims payment, reduce...

AMA Calls for More Data Privacy in Proposed Health IT Rules

by Jessica Kent

The American Medical Association (AMA) is calling on CMS and ONC to implement stricter data privacy controls in their health IT proposals. In comments submitted to CMS, AMA responded to the...

CMS Taking Steps to Modernize Approach to Digital Technologies

by Jennifer Bresnick

CMS is working with other federal agencies and lawmakers in Congress to modernize its approach to coverage for data-driven medical devices and other innovative technologies. As digital tools,...

CMS Offers Resources to Address Social Determinants of Health

by Jennifer Bresnick

CMS is taking a data-driven approach to helping healthcare providers address the social determinants of health. With targeted ICD-10 codes and deeper dives into Medicare and Medicaid data, the...

Verma: Artificial Intelligence is Key for Patient Empowerment, Lower Costs

by Jennifer Bresnick

Artificial intelligence will play a key role in fostering patient empowerment, improving consumer decision-making, and ultimately reducing healthcare spending, says CMS Administrator Seema Verma. As...

CMS Announces Artificial Intelligence Health Outcomes Challenge

by Jennifer Bresnick

CMS is launching its Artificial Intelligence Health Outcomes Challenge, an industry competition aimed at accelerating innovation in the healthcare analytics space. “The Artificial Intelligence...

CMS Sparks Mixed Reactions with Interoperability, Data Blocking Rules

by Jennifer Bresnick

CMS and the ONC dropped a moderate bombshell on the healthcare industry this week by releasing their information blocking and interoperability proposals on the eve of HIMSS19. A conference that typically focuses on forward-thinking...

CMS Sets Rules, Cautions Penalties for Information Blocking, APIs, FHIR

by Jennifer Bresnick

CMS and the Office of the National Coordinator have released long-awaited proposed rules governing interoperability, health data blocking, the use of APIs, and the expanding role of FHIR. Just ahead...

Dozens of Orgs Urge CMS to Keep Next-Gen Genetic Testing in Medicare

by Jessica Kent

More than 60 leading healthcare organizations representing patients, providers, and academic medical centers have called on CMS to revise its interpretation of the National Coverage Determination (NCD)...

CMS Announces Awards for Care Disparities, Population Health

by Jessica Kent

HealthPartners, a consumer-governed healthcare organization, and Centene Corporation, a Fortune 100 company, have received the 2019 CMS Health Equity Award for their work in improving care disparities...

Social Determinants of Health, Value-Based Care Key for Medicaid Success

by Jessica Kent

Value-based care incentives and broader collaborations to address the social determinants of health will be required to reduce spending and improve outcomes for Medicaid beneficiaries, according...

CMS to Launch Artificial Intelligence Health Outcomes Challenge

by Jennifer Bresnick

The CMS Innovation Center is gearing up to launch a new industry challenge aimed at identifying new strategies for leveraging artificial intelligence and machine learning to improve outcomes. The...