Medicare reform must boldly empower seniors to better control their healthcare spending, according to an October report from Devon M. Herrick, PhD, Senior Fellow at the National Center for...
The Centers for Medicare & Medicaid Services (CMS) will publish a proposed rule tomorrow (CMS-3321-NC2) requesting information about the implementation of the Merit-Based Incentive Payment System...
The National Association of Medicaid Directors (NAMD) penned a letter yesterday to various leaders of the Senate Committee on Finance, House Committee on Ways and Means and House Energy and Commerce...
The Administrator of the Centers for Medicaid & Medicaid Services (CMS) should make adjustments to the management of Medicare Advantage (MA) networks to tackle provider availability, validate MA...
Many Medicare beneficiaries may soon experience increased premiums and deductibles if they fail to change plans, confirms yesterday’s issue brief from the Henry J. Kaiser Family Foundation...
Medicare Part B, which helps pay for the majority of outpatient services, is in the midst of heated Congressional conversation. As RevCycleIntelligence.com reported last week, according...
The Centers for Medicare & Medicaid Services (CMS) has awarded $110 million to 17 national, regional, and state hospital associations and health system organizations to help slash preventable...
Managed care delivery systems are an integral part of the Medicaid and Children’s Health Insurance Plan (CHIP) programs, with nearly 80 percent of Medicaid and CHIP enrollees served via managed...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
Although Medicare is reportedly fiscally solvent until 2030, some researchers say the program contributes to healthcare industry woes at a large extent. According to Devon M. Herrick, PhD, Health...
Both the stabilization of Medicare Advantage premiums and improved accessibility of top-notch care plans are on the healthcare horizon, says the Centers for Medicare and Medicaid Services (CMS)...
Despite being a major provision of the Affordable Care Act (ACA), Medicaid expansion has not been implemented in all states and is still having a notable effect on the states in which it has been...
In an effort to measure hospital and patient care quality, the Centers for Medicare & Medicaid Services (CMS) has introduced the Hospital Quality Star Rating System. However, according to a recent...
A recent study by the Government Accountability Office (GAO) has found that the Centers for Medicare & Medicaid Services (CMS) needs to be more hands-on when working with Medicare Part D recovery...
The managed care organization (MCO) tax in California has been causing quite a debate over the past year. After the Centers for Medicare & Medicaid Services (CMS) issued a letter to the state...
The Center for Medicare & Medicaid Innovation’s (CMMI) efforts to minimize healthcare costs and maximize healthcare outcomes through healthcare reform testing demonstrations are...
Medicare pay-for-performance (P4P) incentives are inadvertently averting money away from those financially aching hospitals primarily serving minorities and the economically disadvantaged to instead...
Along with the fiftieth anniversary of Medicare comes reflection. A recent series of writings within the fall issue of the Journal of American Physicians and Surgeons (JPandS) highlights numerous...
The Centers for Medicare and Medicaid Services (CMS) has released new information to assist states with Medicaid and the Children’s Health Insurance Program (CHIP) enrollment. CMS...
Is the Affordable Care Act (ACA) a beautiful success, a gut-wrenching failure, or a complexly vague combination of both? Simply put, opinions are mixed.
Some across the healthcare industry confirm...
