Two state representatives introduced legislation earlier this month in an effort to further advance the progress of Accountable Care Organizations (ACOs). Representatives Diane Black (R-TN) and Peter...
The Center for Medicare & Medicaid Services (CMS) released its Medicare fee-for-service Recovery Audit Program’s report to Congress for fiscal year 2013. The report found that Recovery Audit...
Pharmaceutical manufacturers’ current safeguards may not prevent all copayment coupons from being used for drugs paid for by Part D, according to a recent Office of Inspector General (OIG)...
Typically, settling disputed inpatient billing claims is seen as a positive thing. However, the chairman of the House Ways and Means Committee’s health panel believes that Medicare’s...
Medicare Accountable Care Organizations (ACOs) improved patient care and generated over $372 million in total program savings, according to the Center for Medicare & Medicaid Services (CMS).
The...
Medicare Part B lost millions of dollars in 2011 because certain fees were not aligned with the rates that Part D and state Medicaid programs paid, according to a recent Office of Inspector General...
Socioeconomic factors that affect the need for medical care, along with interactions between the Medicare system and other parts of the health system are main reasons why there is variation in Medicare...
On Friday, July 11, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule for its “Revisions to Payments Policies Under the Physician Fee Schedule and Other...
On Monday, July 14, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule that would update the payment policies and payment rates for services furnished to Medicare...
On Wednesday, August 6, 2014, the Centers for Medicare & Medicaid Services announced its final rule for updating the prospective payment rates for Medicare inpatient hospital services provided by...
On Friday, August 22, 2014, the Centers for Medicare & Medicaid Services (CMS) released the 2015 Hospice Payment Rate final rule, which covers hospice payment rates and the 2015 wage index. The...
On Monday, July 7, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule for the home health prospective payment system (HH PPS) refinements and refine update for the...
On Tuesday, August 5, 2014, the Center for Medicare & Medicaid Services announced its final rule updates for the payment rates used under the prospective payment system (PPS) for skilled nursing...
The Centers for Medicare & Medicaid Services (CMS) has not issued final regulations to a portion of Rural Health Clinics (RHCs) that would enable those facilities to be considered an essential...
The three insurers administering Kansas Medicaid coverage lost $72.6 million in the first half of 2014. This is just the next step in a downward trend, as the KanCare system lost $110 million in...
A primary care model that focuses on personalized preventive medicine can reduce Medicare Advantage spending, according to a recent report published in the American Journal of Managed Care...
