HHS

Does Successful ICD-10 Testing Mean a Smooth Transition?

by Jacqueline DiChiara

The International Classification of Diseases (ICD) is used to standardize codes for medical conditions and procedures. The Centers for Medicare & Medicaid Services (CMS) is assisting and supporting...

King v. Burwell Opposition Means 9.3 Million Lose Subsidies

by Jacqueline DiChiara

The King v. Burwell case will be formerly addressed within the US Supreme Court on March 4, 2015. The Supreme Court will hear arguments regarding the Affordable Care Act’s (ACA) future implications...

Industry Reacts to HHS Value-Based Reimbursement Guidelines

by Ryan Mcaskill

Following the value-based reimbursement goal announcement from HHS, many industry organizations await more details. Earlier this week, Health and Human Services (HHS) Secretary Sylvia Burwell announced...

HHS Announces Timetable, Goals for Value-Based Payments

by Ryan Mcaskill

For the first time, HHS has laid out goal and timeline expectations for the shift from fee-for-service to value-based reimbursement. The push away from the traditional fee-for-service payment approach...

Healthcare Innovation Requires Common Ground

by Ryan Mcaskill

HHS Secretary Sylvia Burwell spoke today about the need for bipartisanship for healthcare innovation to truly work. Earlier today, U.S. Department of Health and Human Services Secretary Sylvia Burwell...

Through Improvement Network, VHHA Saves $90M by Reducing HACs

by Ryan Mcaskill

Hospital-acquired condition rates are a struggle for every hospital, but can be overcome with focus and training. Every medical facility deals with the possibility of a hospital-acquired condition...

Legal Battle Over Affordable Care Act Subsidies Heats Up

by Ryan Mcaskill

King v. Burwell could affect the health insurance of millions in 37 states if the ACA is found at fault. The Affordable Care Act has been shackled with political and legal unrest since originally being...

HHS Report Shows Progress Reducing Hospital-Acquired Conditions

by Ryan Mcaskill

With a focus on improving patient safety, hospital-acquired conditions are down 17 percent since 2010 and saved $12B. This week, the Department of Health and Human Services released the results of a new...

Highmark Over Claims $1.4M in Postretirement Benefits

by Ryan Mcaskill

A recent audit of Highmark Medicare Services found that the company claimed unallowable Medicare Benefits. Recently, the Department of Health and Human Services (HHS) Office of Inspector General...

GPO Funding Structure Could Impact Medicare Costs

by Ryan Mcaskill

A lack of HHS oversight created an environment where GPO fees are unchecked and increasing Medicare Costs. A recent study by the U.S. Government Accountability Office examined five large group...

OIG Releases 2014 Top Management and Performance Challenges

by Ryan Mcaskill

OIG released its annual analysis of the top current and future challenges facing the Department of Health and Human Services. Every year, the Office of Inspector General (OIG) prepares a summary of the...

Palmetto Received $14K in Unallowable Medicare SERP III Costs

by Ryan Mcaskill

Palmetto Government Benefits Administrator unintentionally misfiled SERP III costs during the fiscal years 2010 and 2011. Recently, the Department of Health and Human Services (HHS) Office of Inspector...

HHS, Treasury Propose New Rule for Group Health Plans

by Ryan Mcaskill

A new rule will prevent group health plans that exclude inpatient hospitalization services and/or physician services. The Department of Health and Human Services (HHS) and the Department of the...

HHS Announces 2015 Medicare Premiums and Deductibles

by Ryan Mcaskill

Medicare Plan B premiums, deductibles and copays will be largely unchanged in 2015. Earlier this month, the Department of Health and Human Services (HHS) announced the premiums and deductibles for...

HHS Invests $283M to Spread Primary Care Services

by Ryan Mcaskill

According to a recent press release from Health and Human Services (HHS), the organization has invested $283 million in the National Health Service Corps (NHSC) in the 2014 fiscal year. The goal is to...

US Attorney General Eric Holder steps down from post

by Elizabeth Snell

Last Thursday, US Attorney General Eric Holder announced his resignation. Holder said that he would remain at the head of the Department of Justice (DOJ) until his successor was found. Holder was...

CMS updates Health Plan Identifier system

by Elizabeth Snell

The Centers for Medicare & Medicaid Services (CMS) announced earlier this week that its Health Plan and Other Entity Enumeration System (HPOES) has been updated with new functionality. Now, HPOES...

Chronic disease prevention programs get $212M from HHS

by Elizabeth Snell

The Department of Health & Human Services (HHS) announced yesterday approximately $212 million in grant awards to chronic disease prevention programs nationwide. All 50 states and the District of...

Hospitals’ uncompensated care costs drop $5.7B due to ACA

by Elizabeth Snell

For approximately 10 years before the Affordable Care Act (ACA) was implemented, the number of Americans without health insurance had been steadily increasing, according to the Department of Health...

HHS: Health Insurance Marketplace to grow 25 percent in 2015

by Elizabeth Snell

US consumers will soon have more options when it comes to choosing healthcare coverage, according to recent research. The Health Insurance Marketplace will have 25 percent more issuers offering...