Heeding a call to action from more than 40 leading consumer advocates and health insurers, the Centers for Medicare & Medicaid Services (CMS) recently announced an initiative to help people with Marketplace plans transition to Medicare.

Do you or a loved one have Medicare and Medicaid and need long-term care at home or in a nursing facility? Find out how to get your long-term care services covered in New York.

The Centers for Medicare & Medicaid Services (CMS) recently reported $1.5 billion in savings due to “big data” initiatives with the Fraud Prevention System (FPS), which started in June 2011. Over the past five years, CMS used data and predictive analytics to quickly identify and take action on cases of fraud, waste, and abuse in the Medicare program. Working closely with public and private predictive analytics experts, data scientists, and law enforcement, the FPS “has had a profound impact on fraudulent providers and illegitimate payments,” according to CMS.

Over 100 members of the U.S. House of Representatives wrote to the Centers for Medicare & Medicaid Services (CMS) asking the agency to withdraw a proposal for a demonstration project to test prior authorization requirements in home health care. Home health care services include home-based skilled nursing and therapy care for people with Medicare who are homebound, meaning they are unable to leave their home without difficulty.