お知らせ
CMS Roundup (July. 12, 2024)
- [登録者]Centers for Medicare & Medicaid Services (CMS)
- [言語]日本語
- [エリア]Baltimore, MD
- 登録日 : 2024/07/12
- 掲載日 : 2024/07/12
- 変更日 : 2024/07/12
- 総閲覧数 : 18 人
- お店を検索するなら『タウンガイド』
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- 日本初の生クリーム専門店です。「タカナシ乳業」のサポートによって実現した、驚くほ...
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日本初の生クリーム専門店です。「タカナシ乳業」のサポートによって実現した、驚くほど濃厚な生クリームが自慢です。ミルキーソフトクリームなど生クリームを使ったスイーツをご提供しています。
+1 (808) 376-0435MILK
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- ベトナムホーチミンのフーミンフン区という閑静な住宅地の中にある日系の幼稚園です。
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ベトナムホーチミンのフーミンフン区という閑静な住宅地の中にある日系の幼稚園です。ベトナムで生活をする中で、母国語である日本語を大切にし、子どもたちが正しい日本語を聞き、話す機会を増やすことで自分が日本人であることを自覚し、自分の生まれた国をより良く理解しようとしていくことが何より大切と考えます。また国際感覚を養うために、ベトナムや近隣諸国の文化を学び、地域の人々との交流によって、様々な国の人と仲良...
+84 (028) 5417-291おおぞら日本人幼稚園
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- アーバインにて日本語サッカーアカデミーを開校します!
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アーバインの皆様こんにちは!ロサンゼルス日本語サッカーアカデミーです⚽️ 9月28日(土)から、日本語補習校の放課後にサッカーを通じて楽しく日本語を学べる場を提供いたします!詳細は以下をご覧ください。🔹日本語サッカー詳細🔹【実施日】9月28日から毎週土曜日【時間】13:30〜14:30【会場】Orange County Great Park【対象】全性別、4歳〜12歳【費用】20ドル/回【お支払い...
+1 (858) 342-7644Los Angeles Japanese Soccer Academy
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- 琵琶湖博物館は琵琶湖の価値を広く報じるとともに , みんなで湖と人の共存関係を考...
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琵琶湖は400万年の歴史を持つ , 世界でも有数の古い湖です。長い年月は世界中で琵琶湖しかない生物 ( 固有種 ) を生み出す , ユニークな生態系を発達させた人間が琵琶湖のまわりにすみついたのは2万年と前されています、それからずっと
+81-77-568-4811滋賀県立琵琶湖博物館
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- 市原でイタリアンランチ・バルをお探しなら炭火イタリアンCILOへ!アットホームな...
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市原でイタリアンランチ・バルをお探しなら炭火イタリアンCILOへ!アットホームな店内で家族や友人と厳選されたお肉とイタリアンをお楽しみください🍖🐟パーティーにもご利用いただけます!
+81-436-26-6121炭火×イタリアン CILO チロ
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- 創業26年の本格韓国料理屋です!SINCE 1997 ★好立地ワイキキエリア★ ...
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1997年から続く、創業26年の本格韓国料理店です。リピーターも多く、ローカルにも愛されているお店です。日韓の有名人も多く来店!グループなど大勢のお客さまでもご利用いただけます!●創業26年の本格韓国料理店! SINCE 1997●何度も来たくなる味!リピーターも多く、ローカル観光客問わずの人気店●好立地!ロイヤルハワイアンセンターより徒歩3分のワイキキ中心部●日本語OK!韓国料理メニューが堪能で...
+1 (808) 922-3387GINZA WON RESTAURANT
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- ✍️事業譲渡仲介、🏢商業不動産売買及び賃貸仲介、🍺アルコールライセンス等の許認可...
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JRC Advisorsは、アメリカ・カリフォルニア州のロサンゼルスやオレンジカウンティの飲食店に特化した商業不動産の売買及び賃貸借仲介や事業譲渡仲介を行う不動産業務、飲食店開業に必要な許認可の代行取得等をお手伝いする開業支援業務等のレストラン事業を幅広くサポートするコンサルティング会社です。「事業が軌道に乗っている間にビジネスの売却を検討したい」「カリフォルニア州エリアに飲食店をオープンしたい」...
+1 (310) 339-1734JRC Advisors │ eXp Commercial (事業譲渡仲介、商業不動産売買及び賃貸仲介)
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- KakaakoのH-Martにある韓国料理店です
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釜飯をはじめ、海鮮チヂミ、プルコギ、スンドゥブチゲ等豊富な韓国料理のラインナップ。ジャジャン麺などもございます
+1 (808) 201-1196GAMA
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- 亀山温泉の新ブランド「亀山温泉リトリート」誕生!亀山湖で自然体験!私達が地域の顔...
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千葉県最後の秘境「奥房総」亀山湖畔に佇む老舗旅館です。グランピング施設「グランパーク亀山温泉」リトリート体験「亀山温泉リトリート」次々と亀山温泉の新ブランド誕生!詳しくは当館HPをご覧ください。
+81-439-39-2121亀山温泉ホテル
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- コスタメサにある本格日本料理・寿司店です
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気軽に入れる本格的日本料理を目指して開業しました、味には自信が有ります!
+1 (949) 631-0403Sky Bay Sushi
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- みて・ふれて・楽しく学べる体験・体感型水族館
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心からお待ちしています
+81-776-81-2700越前松島水族館
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- FLAT JP, Inc.
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- ドリフターズはサンディエゴの軟式草野球チームです。新規部員随時募集中!野球好きな...
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ドリフターズはサンディエゴの軟式草野球チームです。新入部員随時募集中!野球好きなら国籍・年齢・経験は問いません。毎週日曜日朝8時~集まって練習しています。ご家族での参加も大歓迎です。グラウンドのの直ぐ傍には公園もあり、家族で楽しむことができます。サンディエゴの青空の下、一緒に野球を楽しみましょう!
+1 (858) 334-5540サンディエゴ ドリフターズ
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- オンライン又は個室での英会話!日常生活で、お仕事で、勉強で、英語が出てこなくて困...
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アメリカに住んでいるのに、なかなか英語がしゃべれるようになれない!子供の先生とのコミュニケーションが上手く取れない!仕事でもっと英語で自分の意見を発言できるようになりたい!英会話の30無料体験レッスンあり。でも、何をどう始めていいかわからないあなた生活スタイル、性格、目標に合わせた効果的な勉強法を経験豊富でバイリンガル講師が、全面サポート致します。We are here to help you s...
+1 (424) 210-6523English Park
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- はじめての方でも利用しやすい施設です。『赤ちゃん』から『高齢者』まで幅広い年齢層...
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お子様のレッスンでは、お子様のレベルに合わせたレッスンを行っております。お子様の体験教室を実施しており、ご興味のある方・習い事でお悩みの方は是非ご参加してみて下さい!大人の方は8コースのプールで、歩行コース・遊泳コースが分かれており、無料のレッスンもございます。ジムも筋力トレーニング器具や有酸素運動エリアもございます。
+81-438-36-6221スイミングスクール ビッグ・エス木更津
Today, the Centers for Medicare & Medicaid Services (CMS) provides an at-a-glance summary of news from around the agency.
*CMS Proposes Rule to the Mitigate Impact of Significant, Anomalous, and Highly Suspect (SAHS) Billing Activity on Medicare Shared Savings Program *
June 28: CMS released a proposed rule titled “Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023.” As outlined in CMS' newly released Physician Fee Schedule, this proposed rule is part of a larger strategy to address SAHS billing activity within the accountable care organizations (ACO) reconciliation process. Details of the proposed rule can be found in this fact sheet [ https://www.cms.gov/newsroom/fact-sheets/proposed-rule-mitigating-impact-significant-anomalous-and-highly-suspect-billing-activity-medicare ], and the proposed rule can be found in the Federal Register here [ https://www.federalregister.gov/documents/2024/07/03/2024-14601/medicare-program-mitigating-the-impact-of-significant-anomalous-and-highly-suspect-billing-activity ], with the comment period ending July 29, 2024.
*CMS Releases Request for Application for States to Participate in the Cell and Gene Therapy Access Model*
June 28: CMS announced the state Request for Applications [ https://www.cms.gov/files/document/cgt-model-rfa.pdf ] (RFA) for participants in the Cell and Gene Therapy (CGT) Access Model. The CGT Access Model is a voluntary model that aims to improve the lives of people with Medicaid living with rare and severe diseases by increasing access to potentially transformative treatments. All states and U.S. territories that participate in the Medicaid Drug Rebate Program (MDRP) are eligible to apply to participate in the model. More details on the RFA are included in this fact sheet [ https://www.cms.gov/files/document/cgt-model-rfa-fact-sheet.pdf ].
*CMS Publishes Program Year 2023 Open Payments Data*
June 28: CMS published Program Year 2023 Open Payments data to the public website as part of its ongoing commitment to improving transparency in health care. The data includes Program Year 2023 data submitted and attested to by applicable manufacturers and group purchasing organizations that are required to annually report payments made to certain health care providers, including physicians and teaching hospitals.
*CMS Issues 4th Evaluation Report of the Vermont All-Payer Accountable Care Organization Model*
June 28: CMS released the 4th Annual Evaluation Report [ https://www.cms.gov/priorities/innovation/data-and-reports/2024/vtapm-4th-eval-full-report ] of the Vermont All-Payer Accountable Care Organization Model [ https://www.cms.gov/priorities/innovation/innovation-models/vermont-all-payer-aco-model ] (VTAPM). This model tests whether scaling an accountable care organization (ACO) model across all major payers in the state facilitates broad care delivery transformation, reduces statewide spending, and improves population health outcomes. The VTAPM achieved statistically significant cumulative gross and net Medicare spending reductions over the first five performance years (2018-2022) for people with Medicare who were aligned with the Medicare ACO initiative. Spending reductions appear to be primarily driven by declines in acute care utilization. There are also noted reductions in specialist visits among those served by ACOs in the initiative, triggered by increasing demand and a lack of sufficient providers. In addition to the full report, a two-page “At-A-Glance” summary can be found here [ https://www.cms.gov/priorities/innovation/data-and-reports/2024/vtapm-4th-eval-report-aag ].
*Oregon Implements Basic Health Program Approved by CMS*
July 1: Following CMS’ approval [ https://www.medicaid.gov/basic-health-program/downloads/or-basic-hlth-prgm-blprnt-jun-2024.pdf ] of its Basic Health Program Blueprint, the State of Oregon has implemented the Oregon Basic Health Program (BHP), which provides essential health benefits to individuals with incomes from 138% to 200% of the federal poverty level who would otherwise be eligible for enrollment in the Marketplace. Oregon became the third state to implement a BHP and expects to cover some 55,000 residents. Additional information about the Oregon BHP can be found here [ https://content.govdelivery.com/accounts/ORHA/bulletins/3a6091e ].
*CMS Announces Coverage of Kisunla for the Treatment of Alzheimer’s Disease*
July 2: CMS announced Medicare coverage is now available for Eli Lilly’s Kisunla (donanemab-azbt) following the Food and Drug Administration’s (FDA) move to grant traditional approval to the drug that treats individuals with Alzheimer’s disease. Kisunla joins Biogen and Eisai’s Leqembi (the brand name for lecanemab-irmb) as the second monoclonal amyloid beta antibody treatment granted traditional FDA approval for Alzheimer’s disease. Medicare covers the drugs with traditional FDA approval in this class when a prescribing clinician or their staff decides the Medicare coverage criteria are met and submits information to help answer treatment questions in a qualifying study. CMS posted updated fact sheets for providers [ https://qualitynet.cms.gov/files/64a7151bd15911001c695b32?filename=Provider%20Factsheet%20Alzheimers%20Treatment.pdf ] and consumers [ https://qualitynet.cms.gov/files/64a7152ed15911001c695b35?filename=Consumer%20Factsheet%20Alzheimers%20Treatment.pdf ] about the CMS National Patient Registry for New Alzheimer’s Drugs. Additional information on Kisunla's approval can be found here [ https://www.fda.gov/drugs/news-events-human-drugs/fda-approves-treatment-adults-alzheimers-disease ].
*CMS Announces First States to Participate in AHEAD Model*
July 2: CMS announced that Maryland, Vermont, and Connecticut have been selected as the first states to participate in the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model [ https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDIsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vd3d3LmNtcy5nb3YvcHJpb3JpdGllcy9pbm5vdmF0aW9uL2lubm92YXRpb24tbW9kZWxzL2FoZWFkIiwiYnVsbGV0aW5faWQiOiIyMDI0MDcwMy45NzExOTU5MSJ9.c365KMvHBn2oVjwCjoHGpyzCDDRL1zqvxp_swkKe1Mo/s/258887569/br/245187548323-l ]. Hawaii will also participate, pending satisfaction of certain requirements. CMS will issue Cooperative Agreements to each state, which will have the opportunity to receive up to $12 million from CMS during the first five and a half years of the model to support implementation.
Under AHEAD, CMS will collaborate with states to curb health care cost growth, improve population health, and advance health equity by reducing disparities in health outcomes. CMS will support participating states through various AHEAD Model components that aim to increase investment in primary care, provide financial stability for hospitals, and support people’s connection to community resources.
Applications to participate in Cohort 3 of the model are due August 12, 2024 at 3:00 p.m. ET. An announcement about states selected to participate in Cohort 3 is planned for Q4 2024. Resources to support states in the development of their applications are available on the AHEAD Model webpage.
*CMS Launches Guiding an Improved Dementia Experience Model*
July 8: CMS launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 1 and announced the 390 organizations participating in the model, representing every state, in a blog [ https://www.cms.gov/blog/guiding-improved-dementia-experience-clearing-path-comprehensive-high-quality-dementia-care ]. The GUIDE Model [ https://www.cms.gov/priorities/innovation/innovation-models/guide ] focuses on dementia care management and aims to improve quality of life for people living with dementia, reduce strain on their unpaid caregivers, and enable people living with dementia to remain in their homes and communities.
*CMS Releases 2nd Annual Evaluation Report for the Global and Professional Direct Contracting Model*
July10: CMS released the 2nd Annual Report [ https://www.cms.gov/priorities/innovation/data-and-reports/2024/gpdc-2nd-ann-report ] for the Global and Professional Direct Contracting (GPDC) Model [ https://www.cms.gov/priorities/innovation/innovation-models/gpdc-model ]. In the second year of GPDC, the model improved quality but increased net spending. New Entrants and High Needs Direct Contracting Entities (DCEs) reduced gross spending through improvements in utilization and minor improvements in quality. Standard DCEs improved multiple quality measures but increased gross spending driven by hospital-affiliated participants. CMS is reviewing the impact of these increases in net spending on the ACO REACH Model. A two-page “At-A-Glance” summary can be found here [ https://www.cms.gov/priorities/innovation/data-and-reports/2024/gpdc-2nd-ann-report-aag ].
*CMS Launches Making Care Primary Model and Announces Model Participants*
July 10: CMS launched the Making Care Primary (MCP) Model on July 1 and announced model participants [ https://www.cms.gov/priorities/innovation/innovation-models/making-care-primary ]. The model aims to improve primary care management and care coordination, equip primary care clinicians with tools to form partnerships with health care specialists, and leverage community-based connections to address patients’ health needs as well as their health-related social needs (HRSNs). The model will be tested in eight states with 133 participants representing 772 practices, including 55 participants that are Federally Qualified Health Centers and 94 participants that are small primary care organizations with 5 or fewer practices.
*CMS Infographic Spotlights Autism-Related Data on Children Covered by Medicaid and CHIP*
July 11: CMS released an infographic [ https://www.medicaid.gov/medicaid/benefits/downloads/2024-autism-infographic.pdf ] with information on children with Medicaid and Children's Health Insurance Program (CHIP) diagnosed with Autism. The infographic provides an overview of the prevalence of autism, characteristics of Medicaid and CHIP beneficiaries with autism, prevalence of common co-occurring health conditions, and utilization of treatment services. Approximately 5% of children with Medicaid or CHIP coverage are currently reported to have Autism or Autism Spectrum Disorder, which is significantly higher than children covered by private insurance or children without insurance coverage.
*Other Recent Releases: *
July 2: Biden-Harris Administration Reaffirms Commitment to EMTALA Enforcement [ https://www.cms.gov/newsroom/press-releases/biden-harris-administration-reaffirms-commitment-emtala-enforcement ]
July 2: HHS Authorizes Five States to Provide Historic Health Care Coverage for People Transitioning out of Incarceration [ https://www.cms.gov/newsroom/press-releases/hhs-authorizes-five-states-provide-historic-health-care-coverage-people-transitioning-out ]
_ _July 10: Biden Harris Administration Proposes Policies to Reduce Maternal Mortality, Advance Health Equity, and Support Underserved Communities [ https://www.cms.gov/newsroom/press-releases/biden-harris-administration-proposes-policies-reduce-maternal-mortality-advance-health-equity-and ]
July 10: HHS Proposes Physician Payment Rule to Drive Whole-Person Care and Improve Health Quality for All Individuals with Medicare [ https://www.cms.gov/newsroom/press-releases/hhs-proposes-physician-payment-rule-drive-whole-person-care-and-improve-health-quality-all ]_ _
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CMS, an agency within the U.S. Department of Health and Human Services, serves the public as a trusted partner and steward, dedicated to advancing health equity, expanding coverage, and improving health outcomes. The agency protects public health by administering the Medicare program and working in partnership with state governments to administer Medicaid, CHIP, and the Health Insurance Marketplace.
Get CMS news at cms.gov/newsroom [ https://www.cms.gov/newsroom ], sign up for CMS news via email [ https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/EmailUpdates ], and follow CMS on Twitter @CMSgov [ https://twitter.com/cmsgov ]
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