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CMS Roundup (July. 12, 2024)
- [Registrant]Centers for Medicare & Medicaid Services (CMS)
- [Language]日本語
- [Location]Baltimore, MD
- Posted : 2024/07/12
- Published : 2024/07/12
- Changed : 2024/07/12
- Total View : 25 persons
- Find local business with Town Guide
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- SORA에서는 전통적인 오마카세 스타일의 일본 요리에 현대적인 감각을 가...
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+1 (646) 883-0700SORA
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- 창업 50년. 치바현 이치하라시에 있는 전통 있는 절임 가게입니다. 종류...
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지산지소(地産地消)를 고집하며 지산지소(地産地消)를 고집하는 지바현 이치하라시에서 절임류를 제조 판매하는 노포 절임집 '요시노 절임'입니다. 창업 50년의 맛을 더 많은 분들이 즐길 수 있도록 슈퍼나 휴게소 등에서도 판매하고 있습니다. 더운 날의 염분 보충이나 오늘의 안주로 어떠세요 ? 여러분의 방문을 기다리고 있습니다.
+81-436-62-4882(有)吉野商店
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- 치쿠라에서 맛있는 호르몬을 먹을 수 있는 가게 『NOBUs HOUSE』고...
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안녕하세요, NOBUs HOUSE입니다 ! 세토하마 근처에서 영업하고 있는 고깃집입니다. 호르몬은 물론, 수량 한정의 '와규 상간'과 '상탄소금' 등도 준비되어 있습니다. 오랜만의 동창회나 회사 환영회 등 연회 예약도 받고 있습니다◎.
+81-470-29-5969NOBU's HOUSE
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- 일상적인 회계 업무에 어려움을 겪고 계신가요 ? 전국 기업을 대상으로 기...
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어떤 작은 일이라도 상담할 수 있는 보다 친근한 존재가 되고자 합니다. 부담 없이 상담해 주세요. 이런 고민이 있으신가요 ? ・ 회계 업무가 익숙하지 않아 처리에 시간이 걸린다 ・ 갑자기 회계 담당자가 그만두었다 ・ 인력이 부족해서 업무가 돌아가지 않는다 ・ 회계/경리 부서의 비용 절감하고 싶다 ・ 회계법인 감사 대응 ・ 자료 작성에 어려움을 겪...
+1 (917) 686-1003Booksavers, Inc.
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- 하와이 여행이 몇 배 더 즐거워진다 ! 전세 전세부터 바비큐까지 하와이 ...
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하와이안투어는 고객의 하와이 여행이 최고의 추억으로 남을 수 있도록 도와드립니다. 【공항픽업】 고객 전용 차량으로 공항까지 모셔다 드립니다.
하와이를 잘 아는 일본인 운전기사가 다양한 장소를 안내해 드립니다. 【골프 플랜】 하와이에서 우아하게 코스를 돌 수 있습니다. 【옵션 투어】 쇼핑이나 크루즈 등 안내해 드립니다. +1 (808) 308-2700Yoshi Hawaiian Tours
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- 「日本のへそ公園」にある西脇市岡之山美術館にぜひお越しください。
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西脇市岡之山美術館は、日本の標準時間を定める東経135度のラインと、日本の南北の中央を横切る北緯35度の交点にあたる「日本のへそ公園」に位置し、西脇市出身の美術家横尾忠則の作品収蔵と地域活動を主たる事業と定め、昭和59年6月に磯崎新氏設計による建物が完成、10月に開館しました。
+81-795-23-6223西脇市岡之山美術館
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- 쉽고 재미있게 배우는 문화교실 ♪ 음악부문 ( 피아노, 플루트, 색소폰,...
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여러분의 '하고 싶은 !' '즐기고 싶은 !'을 지원 ☆ 자녀의 성장과 배움의 지원 ☆ 성인의 취미와 기술 향상에 도움 ☆ 태어나서 처음 배우는 것부터 어른이 되기까지 다양한 강좌 ♪
+81-436-75-4867あいカルチャー
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- '야마 스시 마켓플레이스' San Gabriel점은 창립 40주년을 맞이...
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San Gabriel에 위치한 Yama Seafood는 올해 40주년을 맞아 Yama Sushi Marketplace로 이름을 바꾼 인기 생선가게다. 매일 신선한 회와 초밥을 제공하고 있다. 파티 트레이 주문도 가능합니다 ! 초밥 외에도 미역 샐러드, 오징어 샐러드 등의 반찬, 절임, 그리고 아이스크림, 롤케이크 등의 디저트, 스낵, 스낵, 과자, 주스...
+1 (310) 954-0805Yama Sushi Marketplace
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- "kamogawa seaside base "내에 fruits juice ...
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스무디를 한 손에 들고 바닷가를 산책해 보세요 ? 건강 식재료를 듬뿍 사용한 신선한 주스로 피부에 영양을 ! 근처 해안을 산책하며 마시는 것도 좋아요 과일은 시내에 있는 '야마다 청과점'에서 엄선한 과일을 사용 ◆ 수확 즉시 냉동한 카모노산 딸기
FRUITS STYLE엄선된 과일을 사용 엄선된 식재료 ...
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- 호르몬 × 사케를 맛볼 수 있는 가게 '숯불구이 ・ 와나' 호르몬이라고 ...
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호르몬 × 사케를 맛볼 수 있는 가게 '숯불구이 ・ 와나' 호르몬이라고 하면 맥주나 사와를 주문하는 사람이 많지만, 사케도 잘 어울린다. 각 테이블에는 덕트가 설치되어 있어 눈앞에 있는 나나리에서 구워 먹으면서 한잔. 시치나와이기 때문에 맛볼 수 있는 맛을 만끽할 수 있다.
+81-4-7092-0330炭火焼・輪
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- 일본 이사를 베이 지역에서 ! 미국 내 이사, 장거리 이사를 맡겨주세요 ...
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[귀국편] 이사가 결정되면 먼저 견적을 받아보세요 ! 이사 시기가 겹치므로 귀국 2개월 전부터 준비하시는 것이 좋습니다. 포장부터 포장이사까지 풀서비스부터 예산을 줄이고 싶은 분들을 위한 기본 서비스까지. 잔여 가구 처분, 지인 배송, 하우스 클리닝 등의 옵션도 있습니다. [주 간 이사] 미국 내 장거리 이사 가재도구와 자동차를 함께 이사 예산에 따라 ...
+1 (650) 773-6411Cross Nations, Inc.
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- 어바인에 위치한 환경 친화적인 소수정예 유치원입니다.
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소수정예를 살려, 한 명 한 명의 아이에게 세심하게 신경을 써서 학부모님들이 안심하고 맡길 수 있는 유치원을 지향하고 있습니다. 코히츠지 프리스쿨은 어바인의 풍부한 환경에서 일본어를 배울 수 있습니다. 집단생활의 즐거움을 가르치는 것에도 중점을 두고 있습니다.
(714) 717-5113こひつじプリスクール
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- 현지인들에게도 사랑받는 하와이안 요리를 먹을 수 있는 파인애플 로고가 눈...
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해변에서 가까운 하와이안 요리를 즐길 수 있는 저희 가게에서 아침을 즐겨보세요 ? 마라사다와 아사이 보울 등을 즐기실 수 있습니다. 테이크아웃도 가능하므로 해변에서 식사하거나 공원에서 피크닉을 즐기는 것도 추천합니다 ◎ 여유로운 시간을 저희 가게에서 보내세요.
+1 (808) 739-1630ALOHA CAFE PINEAPPLE
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- 호놀룰루 매거진에서 수년간 베스트 ・ 덴티스트로 선정된 치과입니다. 충치...
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충치 등 일반적인 치료뿐만 아니라 치아의 색, 치열, 교합, 잇몸 상태 등 토탈 헬스케어를 중요시하고 있습니다. 환자 개개인에게 맞는 시술을 제안합니다. ● 충치치료 ● 치주질환 ● 수복치과 - 크라운 - 틀니 - 베니어 ( 포세린 ) - 브릿지 - 임플란트 ※1 ● 심미 ● 교정
교정 ※2 ● 미백 ● 임플란트 ●... +1 (808) 944-1155よしむら歯科医院 | Jon Y. Yoshimura, DDS
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- 일상용부터 선물용까지 ・ 다양한 식재료 라인업과 JSHOP만의 엄선된 식...
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J Shop에서는 매일 신선한 식재료를 준비해 드립니다. 도매상이기에 가능한 고급 레스토랑 수준의 식재료를 가정에서 즐기실 수 있습니다. 또한 일본에서 특별히 주문하고 싶은 상품이 있으시면 언제든지 상담해 주십시오. 넓은 주차장도 완비되어 있으니 꼭 한번 들러주세요. 최고의 식재료로 매일 정성껏 도시락을 만들고 있습니다. 점심이나 저녁에 맛보시기...
+1 (808) 200-5076J-Shop - 生鮮日本食料品専門店
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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