January 2013

Thursday, January 31, 2013

CMS Updates to Coverage Pages


 

Centers for Medicare & Medicaid Services

 

Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) Meetings

1/30/2013 - Beta Amyloid Positron Emission Tomography (PET) in Dementia and Neurodegenerative Disease
      Posted Scoresheet for meeting
http://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?MEDCACId=66

 

 

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.

CMS Announces DMEPOS Competitive Bidding Payment Amounts for the Round 2 and National Mail-Order Competitions


 

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Wednesday, January 30, 2013


 

CMS Announces DMEPOS Competitive Bidding Payment Amounts for the Round 2 and National Mail-Order Competitions

On January 30, 2013, CMS announced the single payment amounts for the Round 2 and national mail-order competitions of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program.

For additional information:

·         Press Release

·         Fact Sheet

·         CMS website

 


AHRQ Health IT Update: Preconception Screening and Education


 

Health IT Tool Delivers Preconception Screening and Education

 

Virtual preconception care systems may be effective in influencing positive behavior change, and health IT-enabled systems have a significant potential to assist in the delivery of preconception care, according to a recent study supported by the Agency for Healthcare Research and Quality. The study, "Reaching Women Through Health Information Technology: The Gabby Preconception Care System," which appeared in the January edition of the American Journal of Health Promotion, evaluated the effectiveness of a health IT facilitated intervention to increase awareness of preconception health among minority women. The authors of this pilot study programmed an avatar named "Gabby" to act as a virtual patient advocate and to deliver interactive screenings to help women identify health risks, assess readiness for change, and learn about lifestyle factors that influence preconception health. Based on the interaction between each participant and the avatar, a health "To Do List" was generated. The study found that participants addressed 83 percent of the issues that they had identified through their lists. For more details, select: http://www.ncbi.nlm.nih.gov/pubmed/23286652.

 

 

Turn the Beat Around program combats cardiovascular disease African Americans in Alabama


 

Centers for Medicare & Medicaid Services

 

 

 

 

 

 

CMS NEWS

 

FOR IMMEDIATE RELEASE                                                Contact: CMS Media Relations

January 31, 2013                                                                                       (202) 690-6145 or

                                                                                                                                                                                        

                                                                                                HHS Office of Minority Health

Division of Information & Education

                        (240) 453-8833

 

African Americans in Alabama get help to fight cardiovascular disease and stroke 



 

African Americans living in parts of Alabama will get improved access to community-based health services to prevent heart attacks and strokes through a new public, private partnership led by the U.S. Department of Health and Human Services (HHS).

The Morehouse School of Medicine and HHS awarded $900,000 to the National Baptist Convention, USA, Inc. to target three counties in Alabama where African Americans face significantly high rates of cardiovascular disease. The National Baptist Convention will build on the strengths of faith-based organizations to connect communities to vital health care resources like hypertension management services, including blood pressure monitoring, free or low-cost medication, and patient counseling and education.

 

The Million Hearts Stroke Belt Project is being funded jointly through the HHS Office of Minority Health (OMH) and the Centers for Medicare & Medicaid Services Office of Minority Health (CMS/OMH).

"Partnerships that help reduce health disparities and save lives is our priority at HHS," said J. Nadine Gracia, M.D., M.S.C.E., deputy assistant secretary for minority health. "This project helps educate and empower people to reduce their risk of heart disease and stroke."

 

"The Affordable Care Act has made preventive services more accessible to Americans, including those at higher risk of heart disease and stroke," said Cara V. James Ph.D., CMS/ OMH director.

 

African Americans are 30 percent more likely to die from heart disease, according to 2009 data from the Centers for Disease Control and Prevention. African Americans living in Alabama – one of the states that comprises an area referred to as the "Stroke Belt" – lack access to health care. Fifty-four of the 67 counties in Alabama have a shortage of primary medical care, dental or mental health providers.

The Million Hearts Stroke Belt Project seeks to reverse this trend.  The project supports the Million Hearts initiative, which counts on public, private partnerships to help prevent one million heart attacks and strokes by 2017. The project is a key part of the HHS Action Plan to Reduce Racial and Ethnic Health Disparities and the National Prevention Strategy to reduce health disparities among racial and ethnic minorities.

Together, OMH and CMS/OMH operations are dedicated to improving the health of racial and ethnic minority populations through the development of health policies and programs that will help eliminate health disparities. To learn more, visit:
 http://minorityhealth.hhs.gov/.

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Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.

CMS News: CMS Announces New Initiative to Improve Care and Reduce Costs for Medicare


 

Centers for Medicare & Medicaid Services

 

 

 

 

CMS NEWS

 

FOR IMMEDIATE RELEASE                        Contact: CMS Media Relations Group

January 31, 2013                                                                                   (202) 690-6145

 

CMS Announces New Initiative to Improve Care and Reduce Costs for Medicare

Hundreds of Providers Selected to Participate in the Bundled Payments for Care Improvement Initiative

Today, the Centers for Medicare & Medicaid Services (CMS) announced that over 500 organizations will begin participating in the Bundled Payments for Care Improvement initiative. Through this new initiative, made possible by the Affordable Care Act, CMS will test how bundling payments for episodes of care can result in more coordinated care for beneficiaries and lower costs for Medicare.

"The objective of this initiative is to improve the quality of health care delivery for Medicare beneficiaries, while reducing program expenditures, by aligning the financial incentives of all providers," said Acting Administrator Marilyn Tavenner.

The Bundled Payments for Care Improvement initiative includes four models of bundling payments, varying by the types of health care providers involved and the services included in the bundle.  Depending on the model type, CMS will bundle payments for services beneficiaries receive during an episode of care, encouraging hospitals, physicians, post-acute facilities, and other providers as applicable to work together to improve health outcomes and lower costs. Organizations of providers participating in the initiative will agree to provide CMS a discount from expected payments for the episode of care, and then the provider partners will work together to reduce readmissions, duplicative care, and complications to lower costs through improvement.

Today's announcement includes the selection of 32 awardees in Model 1, who will begin testing bundled payments for acute care hospital stays as early as April 2013. In the coming weeks, CMS will also announce a second opportunity for providers to participate in Model 1, with an anticipated start date of early 2014.  

Today's announcement also marks the start of Phase 1 of Models 2, 3, and 4. In Phase 1 (January-July 2013), over 100 participants partnering with over 400 provider organizations, will receive new data from CMS on care patterns and engage in shared learning in how to improve care. Phase 1 participants are generally expected to become participants in Phase 2, in which approved participants opt to take on financial risk for episodes of care starting in July 2013, pending contract finalization and completion of CMS' standard program integrity reviews.

To see the list of awardees for Model 1 and participants for Phase 1 of Models 2, 3, and 4 and, please go to: http://innovation.cms.gov/initiatives/bundled-payments 

 

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Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.