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Save the SHIP

Date: August 4th, 2016

In an era of increasing constraints on federal budgets, the Senate Appropriations Committee voted in June to approve a Labor, Health and Human Services, and Education Appropriations (Labor-HHS) bill that would effectively eliminate the Medicare State Health Insurance Program (SHIP), which provides in-person and over-the-phone Medicare counseling to seniors and people with disabilities. While there is much to like in the Senate’s version of the appropriations bill, such as the expansion of funding to the National Institutes of Health (NIH) that


A Look at the Medicare Advantage Risk Adjustment Model

Date: March 9th, 2016

Medicare Advantage plans, also called “MA Plans” or “Part C,” are private insurance plans regulated by the Centers for Medicare and Medicaid Services (CMS), covering Part A (hospital insurance) and B (outpatient services) of traditional Medicare. MA Plans differ from traditional Medicare in two important ways. Foremost, MA Plan payments are fixed, while traditional Medicare is fee-for-service (FFS). These fixed payments incentivize physicians to focus on more preventative and early-stage services because it is cheaper to keep patients healthy and provide


CMS Should Maintain Focus on Prevention

Date: February 1st, 2006

The Centers for Medicare and Medicaid Services (CMS) is the federal agency that administers Medicare, Medicaid, and related programs, to ensure that beneficiaries are aware of health care services and that these services are accessible. CMS' mission includes a commitment to policies and actions that promote efficiency and quality in health care delivery. In recent years, CMS has demonstrated an increasing focus on disease prevention. Access to routine preventive screenings and vaccinations has improved. CMS has also made strides in educating beneficiaries about