Tag Archives: CMS

Challenging the Risk Adjustment Program

by Nicholas Bagley — Tuesday, June 14, 2016

If you’re one of the six people left who still hasn’t had enough of ACA litigation, you’re in luck. Yesterday, a health plan in Maryland sued the Centers for Medicare and Medicaid Services, arguing that it has botched the implementation of the risk adjustment program. The risk adjustment program is one of the three R’s—reinsurance, […]

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Why is CMS Withholding Substance Use Data from Researchers?

by Nicholas Bagley — Monday, Dec. 8, 2014

According to recent reports, CMS has begun withholding from researchers Medicare and Medicaid claims data relating to substance use diagnoses and related procedures. The agency’s decision will impair research relating not only to substance use, but also any research that depends on unbiased Medicare and Medicaid data. Much of that research is designed to improve […]