KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits
The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.
CMS
241 - 260 of 407 Results
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Why Red Wyoming Seeks The Regulatory Approach To Air Ambulance Costs
Wyoming is taking on expensive air ambulance bills by trying to expand Medicaid to cover transport for all patients. This is a big change: a red state seeking to control what's been a growing free-market bonanza.
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Trump Administration Hits Brakes On Law To Curb Unneeded Medicare CT Scans, MRIs
Critics worry the delays come at a steep cost: Medicare paying for millions of unnecessary exams and patients subject to radiation for no medical benefit.
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Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.
By Fred Schulte and Lauren Weber -
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
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Medicare Going In ‘Right Direction’ On Opioid Epidemic
A new report by the inspector general for HHS shows prescriptions to treat opioid addiction are way up in recent years, while prescriptions for the painkillers have fallen.
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How To Get A Cheaper Prescription Before Leaving The Doctor’s Office
A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.
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Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
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Robin Hood To Rescue Of Rural Hospitals? New Math Promised On Medicare Payments
A proposed adjustment to the wage index, used in setting a hospital’s Medicare reimbursement payments, could be a lifeline for some rural facilities.
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Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
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Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
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Short-Staffed Nursing Homes See Drop In Medicare Ratings
In its latest update to the Nursing Home Compare website, the government gave 1,638 homes its lowest star rating for staffing — one star on its five-star scale. Most were downgraded because payroll records reported no registered-nurse hours at all for at least four days.
By Jordan Rau and Elizabeth Lucas -
Look-Up: How Nursing Home Staffing Fluctuates Nationwide
Use this tool to see staffing levels at skilled nursing homes in the U.S.
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Hospitals Chafe Under Medicare’s New Payment Rule For Off-Campus Clinics
Under the rule that took effect this year, Medicare will lower payments for clinic visits performed at hospital-owned facilities to a rate that is equivalent to what it pays an independent doctor. Federal officials expect the move will save the government $380 million this year.
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Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.
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Readers And Tweeters Chime In On Investigation Of Electronic Health Records
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
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CMS Ignores Federal Judge Ruling To Approve Medicaid Work Rules in Utah
Work helps make people healthier, CMS chief Seema Verma said in approving Utah’s waiver request to tie government health benefits to employment or volunteer work. But Judge James Boasberg has said that isn’t the goal of Medicaid.
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Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.
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Death By 1,000 Clicks: Where Electronic Health Records Went Wrong
The U.S. government claimed that turning American medical charts into electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the system is an unholy mess. Inside a digital revolution that took a bad turn.
By Fred Schulte and Erika Fry, Fortune -
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.