By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    physical health
    5 Ways Playing Games Can Improve Neural and Physical Health
    September 9, 2022
    Reasons For Hair Loss and Its Treatment
    Reasons For Hair Loss and Its Treatment
    February 16, 2022
    healthcare organization
    5 Actionable Strategies For Healthcare Organizations
    August 15, 2022
    Latest News
    Clean Your Mattress Properly to Avoid Common Health Issues
    March 29, 2023
    5 Benefits Of HIPAA-Compliant Answering Services
    March 28, 2023
    3 Ways To Deal With Health Issues In Cities With High Pollution
    March 22, 2023
    What Tools Should Your Caregiver Have?
    March 22, 2023
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Reasons to Reform Medicaid
    November 9, 2011
    Image
    Contaminated Water and Disease:Are We Safe?
    December 12, 2012
    Interim CMS Director Steps Down, Problems Remain
    November 29, 2011
    Latest News
    What Are Bioidentical Hormones Made With?
    March 23, 2023
    Cover Medical Costs of Child Dog Bites with Legal Specialists
    March 23, 2023
    3 Ways to Improve the U.S. Healthcare System By 2030
    March 14, 2023
    6 Steps To Ensure Speed And Efficiency Of Clinical Studies
    March 14, 2023
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: CMS and Healthcare Reform: What’s the Connection?
Share
Sign In
Notification Show More
Latest News
improve self-esteem to fight depression
7 Ways to Enhance Your Self-Esteem to Fight Depression
Mental Health
healthy travel tips when visiting Australia
7 Essential Tips to Stay Safe and Healthy Visiting Australia
News
health risks of dirty mattress
Clean Your Mattress Properly to Avoid Common Health Issues
Health
eligble for NDIS?
Are You Eligible For NDIS? How To Apply
News
upgrade to your nursing career
4 Pertinent Ways to Upgrade Your Nursing Career
Nursing
Aa
Health Works CollectiveHealth Works Collective
Aa
Search
Have an existing account? Sign In
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Finance > CMS and Healthcare Reform: What’s the Connection?
FinanceHealth ReformPolicy & LawPublic Health

CMS and Healthcare Reform: What’s the Connection?

Total Innovation Group Inc.
Last updated: 2013/03/01 at 9:01 AM
Total Innovation Group Inc.
Share
4 Min Read
SHARE

health reform and CMS TIGIThe Centers for Medicare and Medicaid Services (CMS) is a section of the United States Department of Health and Human Services (HHS).

health reform and CMS TIGIThe Centers for Medicare and Medicaid Services (CMS) is a section of the United States Department of Health and Human Services (HHS). It is the largest administrator of health insurance benefits with its health care programs providing services to more than 100 million people, or a bit less than 1/3 of the United States Population. The programs administered by CMS include Medicare, Medicaid, and the Children’s Health Insurance Program.

Historically, rules created by CMS for Medicare were often copied by private insurers. For instance, new tests for screening and/or diagnosing diseases were considered experimental until Medicare approved them for reimbursement. Most times private insurance companies would follow rather than lead in implementing payments for new diagnostics and medicines.

The role of The Centers for Medicare and Medicaid in implementing the Affordable Care Act (ACA) is quite important. They are the agency within HHS that is underwriting the reimbursement rules for implementing the ACA.

More Read

everest healthcare

The Everest Foundation’s Mission to Support Inclusive Healthcare

Colleges Prove the Huge Benefits of AI in Healthcare Education
Using EHR systems in healthcare for Cost-Effective Services
Benefits of Emerging Technology in Healthcare in 2023
Why Is a Referenced Based Pricing Tool Necessary?

They are also the primary federal agency that is informing and educating the public about what to expect in the way of changes from implementation of the Affordable Care Act. Opponents to the ACA derisively call it “Obamacare,” but the president and his supporters have said that is a nickname they are proud of.

Whether you support the ACA or not, it is the most significant change in health care since the implementation of Medicare and Medicaid fifty years ago.

The Centers for Medicare and Medicaid Services is concerned with three key components of the Affordable Care Act implantation. They are:

  1. Availability of health insurance
  2. Affordability of health insurance
  3. Reducing the cost of health care in the United States

They have developed programs to encourage all medical care facilities to computerize their medical record systems. The high dollar savings initially predicted have not yet materialized, although improved patient care due to electronic medical availability has been anecdotally reported.

It is no longer legal to bar someone from health insurance because they have a “pre-existing” condition.

The lifetime caps (total amount of health insurance available to you) were done away with and no matter how expensive your care is you will receive it for as long as it is needed.

Children under age 26 living at home are also eligible for coverage.

CMS is tasked with making regulations to implement the ACA which is not yet popular with the majority of Americans. Even after the legislation passed, many are opposed to it.  The law is being phased in over several years, with 2014 seen as the target date for full implementation.

While CMS is outstanding in its role of administrator for the plans of the Federal Government with very low administrative expenses it remains to be seen if they are up to the task of implementing the most sweeping reforms in health care insurance since Medicare. 

Image: freedigitalphotos.net

TAGGED: ACA, CMS

Sign Up For Daily Newsletter

Be keep up! Get the latest breaking news delivered straight to your inbox.
By signing up, you agree to our Terms of Use and acknowledge the data practices in our Privacy Policy. You may unsubscribe at any time.
Total Innovation Group Inc. March 1, 2013
Share this Article
Facebook Twitter Copy Link Print
Share
Previous Article caregivers policy Reducing Hospital Readmissions: An Interview with Robert Wood Johnson Foundation’s Anne Weiss
Next Article Healthy Mediterranean Diet Mediterranean Diet: Truly Heart-Healthy?

Stay Connected

1.5k Followers Like
4.5k Followers Follow
2.8k Followers Pin
136k Subscribers Subscribe

Latest News

improve self-esteem to fight depression
7 Ways to Enhance Your Self-Esteem to Fight Depression
Mental Health March 31, 2023
healthy travel tips when visiting Australia
7 Essential Tips to Stay Safe and Healthy Visiting Australia
News March 29, 2023
health risks of dirty mattress
Clean Your Mattress Properly to Avoid Common Health Issues
Health March 29, 2023
eligble for NDIS?
Are You Eligible For NDIS? How To Apply
News March 29, 2023

You Might also Like

Bioidentical Hormones
Medical Education

What Are Bioidentical Hormones Made With?

March 23, 2023
child dog bite lawyer
News

Cover Medical Costs of Child Dog Bites with Legal Specialists

March 23, 2023
US healthcare system
Global Healthcare

3 Ways to Improve the U.S. Healthcare System By 2030

March 14, 2023
Clinical Studies
Global Healthcare

6 Steps To Ensure Speed And Efficiency Of Clinical Studies

March 14, 2023
//

We influence million of users and is the most authentic source of information on healthcare business and technology news.

Quick Links

  • About
  • Contact
  • Privacy
Subscribe

Subscribe to our newsletter to get our newest articles instantly!

Follow US

© 2008-2023 HealthWorks Collective. All Rights Reserved.

Removed from reading list

Undo
Welcome Back!

Sign in to your account

Lost your password?