CMS continues to seek to develop a comprehensive set of quality measures to be available for widespread use for informed decision-making and quality improvement in the IPF setting. Therefore, CMS sought information on potential future measures in the following areas that CMS believes are important to stakeholders, but which are not covered in the current … Read more
Generally cost assistance only applies to major medical coverage and not dental plans. However if you get a marketplace plan that includes dental insurance, it will only have one premium which Premium Tax credits can be applied to. You cannot apply Tax Credits to a stand-alone dental plan.
Here is a quick summary of what you need to know about dental, your rights, and how cost sharing works on dental plans: A child must be offered dental, but you don’t have to take it. If you have dental coverage through the Marketplace it will typically have a maximum of $700 for a child … Read more
CMS is not finalizing removal of the Alcohol Use Brief Intervention Provided or Offered and Alcohol Use Brief Intervention (SUB-2/2a) measure or the Tobacco Use Treatment Provided or Offered and Tobacco Use Treatment (TOB-2/2a) measure in response to comments indicating that these measures still provide benefits that outweigh the costs of retaining them in the … Read more
Did you know that dental insurance, for the most part, is not covered under the Affordable Care Act? However, children’s dental coverage is a required benefit included on all Affordable Care Act compliant plans and cost assistance can be applied to any Marketplace plan that includes dental. Although Dental is not a required … Read more
CMS proposed to remove three chart-abstracted measures from the IPF QRP for the FY 2024 payment determination and subsequent years because the costs associated with these measures outweigh the benefits of continuing to retain them in the IPF QRP. CMS is finalizing removal of one of these measures (Timely Transmission of Transition Record (Discharges from … Read more
Individual – Family dental insurance plan help and information – InsuranceCompany.com is a specialist in dental insurance and dental discount plans, vision and prescription coverage programs for individuals, families and groups. We have been serving the dental insurance community since 1983, you will find our licensed dental insurance agents are well informed and ready to … Read more
For the FY 2023 payment determination and subsequent years, CMS is finalizing its proposal to adopt the COVID-19 Vaccination Coverage Among Healthcare Personnel (HCP) measure to the IPF QRP. The measure addresses the quality priority of “Promote Effective Prevention & Treatment of Chronic Disease” through the Meaningful Measures domain of Preventive Care. The process measure … Read more
The IPF QRP requires IPFs to submit quality data to CMS in accordance with the IPF QRP’s requirements or receive a payment reduction of 2.0 percentage points to their annual update. CMS makes the IPF QRP data submitted by IPFs publicly available. This public reporting helps consumers make more informed decisions about their health care … Read more
In FY 2022 and for subsequent years, CMS is adopting conforming changes to the IPF PPS teaching policy with respect to displaced residents from IPF hospital closures and closures of IPF teaching programs, thus aligning IPF teaching policy with changes that the Inpatient Prospective Payment System (IPPS) finalized in the FY 2021 IPPS/LTCH PPS final … Read more
For FY 2022, CMS is updating the IPF PPS payment rates by 2.0% based on the final IPF market basket estimate of 2.7%, less a 0.7 percentage point productivity adjustment. In addition, the final rule updates the outlier threshold to maintain outlier payments at 2.0% of total payments. This adjustment will result in a 0.1% … Read more
On July 29, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for the Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) for Fiscal Year (FY) 2022 and finalizes changes to the IPF Quality Reporting Program (QRP). CMS is publishing this final rule consistent … Read more
The Centers for Medicare & Medicaid Services (CMS) proposed a rule which would enable states to make payments to third parties on behalf of certain individual health care practitioners, including home care workers and personal care assistants. These changes would make it easier for those workers to obtain and retain health insurance, training, and other … Read more
Medicare is a national health insurance program in the United States, begun in 1965 under the Social Security Administration (SSA) and now administered by the Centers for Medicare and Medicaid Services (CMS). It primarily provides health insurance for Americans aged 65 and older, but also for some younger people with disability status as determined by … Read more
Question: My husband just lost the job, I am only working part time and we have two kids under the age of ten. We were a low income household before my husband got laid off now we are just hardly getting by each day. My husband is looking for a full time job. In the … Read more
Your gummy smile treatment options include gum contouring, jaw surgery, and lip lowering, or your black gums can be permanently treated to be brighter. Gum contouring: Gum contouring, which may also be called crown lengthening, is a procedure that is used to remove excess tissue and expose more of the natural tooth for a … Read more
Fluoride Toothpaste Should be Given to Babies, When First Tooth Appears. Previously, the American Dental Association had recommended kids younger than two years old have their teeth brushed with water, before moving onto a pea-sized amount of fluoride toothpaste through the time they’re six years old. Now, the ADA says go ahead … Read more