Reports and Resources

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By
PFM
08/06/2014

On July 15, 2014, the Congressional Budget Office (CBO) released its long-term budget outlook.[i] Under the assumption that relevant laws remain the same, this annual report projects 10 years and 25 years of future federal spending and revenues, including for the nation’s major health insurance programs – Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Importantly, the report is not a prediction of spending in the future, but rather a demonstration of the effects current policies will have on the economy over time if left unchanged.

By
PFM
07/18/2014

As a federal agency with distinct regulatory and rule-making authority, the Centers for Medicare and Medicaid Services (CMS) issues many proposed rules and regulations each year that impact the programs it administers. These rules vary in scope and typically impact a set of limited, specific issues.

The proposed rule released in early July each year is particularly vast and impactful because it makes sweeping changes to payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS).

By
PFM
04/21/2014

The Medicare “Data Dump” refers to the recent release of previously inaccessible data on physician billing and payment in Medicare. On April 9, 2014 the Centers for Medicare & Medicaid Services (CMS) released the newly-public data set, formally known as the Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File.[i]

By
PFM
03/06/2014

March 6, 2014

Marilyn Tavenner

Administrator

Centers for Medicare and Medicaid Services

Department of Health and Human Services

200 Independence Avenue, SW

Re: Advance Notice of Methodological Changes for Calendar Year (CY) 2015 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2015 Call Letter

Dear Ms. Tavenner:

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