Centers for Medicare and Medicaid Services

DREDF Comments on HHS Proposed 2019 NBPP for Marketplace

November 29, 2017
HHS's recently released Notice of Benefit and Payment Parameters proposes a number of significant "updates" to rules that regulate the ACA marketplaces, as well as changes in who is responsible for the actual monitoring and enforcement of those rules. DREDF's response highlights our opposition to proposals to change how essential health benefit standards are established in each state, the way that provider network adequacy is enforced for plans participating in the exchanges, and the requirement that requires plans to limit their use of premiums for expenses other than medical benefits. DREDF also criticizes greatly reduced federal support for Navigators and increases on individual and family cost-sharing limits.

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DREDF responds to CMS Innovation Center’s RFI

November 21, 2017
The Centers for Medicare and Medicaid Services Innovation Center (CMMI) put out an informal Request for Information on September 20, seeking stakeholder feedback on a "new direction to promote patient-centered care and test market-driven reforms." The RFI emphasizes choice and competition as the keys to higher quality, reduced costs, and improved patient outcomes. DREDF response emphasizes the critical need for enhancing and integrating long-term services and supports across all of CMMI's models, including within accountable care organizations, advance payment models, and PACE programs for younger people with disabilities.

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DREDF Supports CMS Proposed Revisions to Payment Policies Under the CMS Physician Fee Schedule

October 5, 2017
Re: Revisions to Payment Policies under the Physician Fee Schedule and other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program (CMS-1676-P)

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DREDF’s Comments on CMS Proposals

July 5, 2016
DREDF supports CMS proposals to include Promoting Health Equity and Continuity, and Social and Community Involvement as Clinical Practice Improvement Activity performance categories related to rewarding eligible practitioners who work to improve and maintain high quality care for people with disabilities. However, we question why the proposed rule fails to immediately adopt the subcategory of promoting health equity, which explicitly includes "maintaining adequate equipment and other accommodations."

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Summary of Benefits and Coverage and Uniform Glossary (CMS–10407)

April 4, 2016
All consumers need clear and accessible information. For consumers with disabilities, however, these needs become quite specific. That is, coverage information about such topics as the treatment of habilitation services and devices durable medical equipment, orthotics and prosthetics, prescription drugs, and mental health coverage is particularly important since these are items that enable people with chronic conditions and disabilities to remain functional in their lives and communities.

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NFB and Disability Advocates Charge Federal Health Agency With Civil Rights Violations

February 10, 2016
(Springfield, MA, February 10, 2016): The National Federation of the Blind (NFB) and individual plaintiffs Juan Figueroa, Derek Manners, and Martti Mallinen announced the filing of a major federal lawsuit today in U.S. District Court, District of Massachusetts, Western Division. The lawsuit charges the US Department of Health and Human Services (HHS) through its sub-agency, the Centers for Medicare and Medicaid Services (CMS), and its CMS sub-contractors, with systemically violating the civil rights of blind Medicare recipients.

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Juan Figueroa, Derek Manners, Martti Mallinan, and The National Federation of the Blind v. US Department of Health and Human Services

February 10, 2016
The lawsuit filed today by the National Federation of the Blind (NFB) and individual plaintiffs charges the US Department of Health and Human Services (HHS) through its sub-agency, the Centers for Medicare and Medicaid Services (CMS), and its CMS sub-contractors, with systemically violating the civil rights of blind Medicare recipients. The complaint details how, 40 years after the federal Rehabilitation Act and a the growth of a new world of technology, blind people are still forced to -- among other long-outmoded practices -- rely on others to read inaccessible materials, and to disclose private personal and financial information to sighted third parties.

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Federal Marketplace Benefit and Payment Parameters for 2017

January 15, 2016
DREDF commented on a large set of proposed regulations issued by the Centers for Medicare and Medicaid (CMS) shortly before the holidays. The draft regulations concerned Benefit and Payment Parameters for qualified health plans in the federal marketplace in 2017. In our comments, DREDF highlighted concerns with QHP's coverage of rehabilitative devices and durable medical equipment as rehabilitative benefits, and ongoing shortfalls in network adequacy standards with respect to physical and programmatic accessibility.

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DREDF responds to CMS request for information on new system for paying Medicare providers.

November 18, 2015
As an organization founded by people with disabilities and parents of children with disabilities, we have long advocated for equally effective and barrier-free healthcare for people with disabilities of all ages. We strongly support the repeal of the Medicare sustainable growth rate (SGR) methodology for updating the physician fee schedule (PFS) effected by Section 101 of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), and its replacement with a new Merit-based Incentive Payment System (MIPS).

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Promising Practices: Webinar #2 Recording and Materials

September 28, 2015
Webinar Recording and Materials 9/24/15
PROMISING PRACTICE: An Innovative Three-Way Complex Care Collaboration: Berkeley Center for Independent Living (CIL), LifeLong Medical Care, and Alameda Alliance Health Plan, Berkeley, California

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