CMS Home, Medicare, Medicare Contracting Reform, Overview

CMS’ mission is to ensure health care security for beneficiaries. A major component in achieving this mission is the successful administration of Original Medicare, or Fee-for-Service (FFS) Medicare. Medicare Contracting Reform (or section 911 of the Medicare Prescription Drug,

Medicare Help for Flu Like Symptoms

Persons with Disabilities: The term “disability” refers to limited physical or cognitive capacity. It includes people with neurological and neuro-developmental conditions, such as disorders of the brain, spinal cord, peripheral nerve, and muscle (e.g., cerebral palsy, epilepsy/seizure disorders, stroke, intellectual disability/mental retardation); moderate to severe developmental delay; muscular dystrophy; and spinal cord injury. These chronic conditions interfere with functional capacity. “Disability” also includes people with other chronic health conditions that interfere with functional capacity.

Medicare beneficiaries will not see a Part B monthly premium increase

Most Medicare beneficiaries will not see a Part B monthly premium increase as a result of a “hold harmless” provision in the current law. This allows for 73 percent of beneficiaries to be protected from an increase raising the 2010 Part B monthly premiums from $96.40 to $110.50.

Medicare: New Standards for Tougher Error Rate

For 2009, CMS improved how it reviews Medicare claims for inpatient hospital services and eliminated the use of past billing records as part of a complex medical review. As a result of this heightened scrutiny and more complete accounting of Medicare FFS claims, CMS is reporting a 2009 FFS error rate of 7.8 percent, or $24.1 billion, compared to 3.6 percent in 2008. In addition, for 2009:

Medicare Expands List of Covered Preventive Services to Include HIV Screening Tests

The Centers for Medicare & Medicaid Services (CMS) today announced its final decision to cover Human Immunodeficiency Virus (HIV) infection screening for Medicare beneficiaries who are at increased risk for the infection, including women who are pregnant and Medicare beneficiaries of any age who voluntarily request the service. The decision is effective immediately.

Social Security Holds Disability Hearing

Michael J. Astrue, Commissioner of Social Security, today hosted the agency’s fifth public hearing on Compassionate Allowances. Commissioner Astrue was joined by Philip Wang, M.D., Dr. P.H., National Institute of Mental Health, National Institutes of Health, and Social Security executives. They heard testimony from some of the nation’s leading experts on schizophrenia about possible methods of identifying and implementing Compassionate Allowances for young adults with schizophrenia.

Inspector General to Investigate California and Hawaii Disability Determination Services

Michael J. Astrue, Commissioner of Social Security, today asked the agency’s Inspector General to investigate allegations that the states of California and Hawaii have recently implemented practices that deny applicants the right to receive full consideration of their Social Security disability claims.

National Institutes of Health on World AIDS Day 2009

On Dec. 1, the National Institutes of Health joins the global community in commemorating World AIDS Day. On this occasion, we remember the more than 25 million people who have lost their lives to this terrible disease, and dedicate ourselves to meeting the needs of the many millions more who are living with HIV/AIDS. We also recognize their families, caregivers, and communities, who are coping every day with the burden of this disease.

Healthy Ideas for the Holidays from the NIH

veral kitchen gadgets—like juicers, slow cookers, rice cookers or vegetable steamers—can help you prepare nutritious low-fat foods. You can also encourage loved ones to prepare tasty, healthy dishes by giving them a low-cost cookbook from NIH (see the “Wise Choices” box). Popsicle molds in whimsical shapes can encourage healthful snacking for kids. Fill them with pureed fruit or 100% fruit juice.

Thirteen New Projects to Advance Asthma Control

The National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health has approved the award of 13 contracts to local organizations across the country to develop, implement, and test science-based approaches to improve asthma control using evidence-based national guidelines for diagnosing and managing asthma.