Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
CMS
361 - 380 of 407 Results
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Repeal & Replace Watch
Health Law’s 10 Essential Benefits: A Look At What’s At Risk In GOP Overhaul
The woman set to run the federal Centers for Medicare & Medicaid Services told senators last week that maternity coverage should be optional in individual and small group plans. But other services could also be left on the cutting room floor.
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Docs Bill Medicare For End-Of-Life Advice As ‘Death Panel’ Fears Reemerge
The federal program paid $16 million in the first six months of 2016 to counsel 223,000 patients about treatment preferences in their last days.
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Repeal & Replace Watch
Five Quick Ways HHS Secretary Tom Price Could Change The Course Of Health Policy
After a tough fight by Democrats, Senate Republicans confirmed Rep. Tom Price’s nomination to head the Department of Health and Human Services. He will have the authority to upend some current practices.
By Julie Rovner -
Judge Accepts Medicare’s Plan To Remedy Misunderstanding On Therapy Coverage
Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.
By Susan Jaffe -
Medicare’s Coverage Of Therapy Services Again Is In Center Of Court Dispute
According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.
By Susan Jaffe -
Repeal & Replace Watch
One Foot Out the Door, Medicare Chief Launches His Own Twitter Barrage
Acting CMS administrator Andy Slavitt is taking to social media to defend the Affordable Care Act from GOP dismantling.
By Rachel Bluth -
Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show
Medicare overpaid five insurance plans by $128 million yet only recovered $3 million, audits show.
By Fred Schulte -
Bundled Payments Work, Study Finds, But HHS Nominee No Fan
A study found that Medicare’s bundled payments model for joint replacement could save the government billions of dollars without harming patient care.
By Rachel Bluth -
New Special Enrollment Rules Will Shift Paperwork Burden To Consumers
Federal officials provide details about a pilot project starting in June that will delay some consumers' mid-year marketplace enrollment until they produce documentation proving eligibility.
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Health Law’s Test Kitchen For Payment Reforms Could Offer Tool For GOP Ideas
The Centers for Medicare & Medicaid Innovation was charged by the health law with exploring payment reforms that could cut health care costs and possibly improve quality. But its future is hinged to whether GOP lawmakers see value in its work.
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Trump’s Pick To Run Medicare And Medicaid Has Red State Policy Chops
Seema Verma is a consultant who was Vice President-elect Mike Pence's health policy advisor when he was governor of Indiana, playing a key role in Medicaid expansion in that state.
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In Depressed Rural Kentucky, Worries Grow Over Medicaid
Low-income residents in poverty-stricken Clay County worry what will happen to their health care if Gov. Matt Bevin’s ambitions to overhaul the state’s Medicaid program go forward.
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Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors
Some insurers have been allowed to move customers on the health law's marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.
By Susan Jaffe -
How To Enroll In Medicare And Avoid Costly Mistakes
Enrolling in Medicare is confusing and mind-boggling if you don’t act at the right time and avoid costly mistakes.
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Feds Find Doctor Listings Often Wrong In Medicare Advantage Directories
The federal government's first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.
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Officials Warn Some Older Marketplace Customers To Switch To Medicare
The government is sending emails and letters to some seniors to warn them that if they are eligible for Medicare and stay on the health law's exchange, they will have to repay any subsidies they receive and if they miss their Medicare enrollment opportunity, they will face a life-long penalty.
By Susan Jaffe -
‘Simple Choice Plans’ To Debut In 2017 Marketplace Enrollment
The standardized policy options would provide a way for consumers to make apples-to-apples comparisons.
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Doctors Raise Concerns For Small Practices In Medicare’s New Payment System
The government is laying out plans to use payment incentives to promote higher quality care, but physicians say the new system may be hard on solo practices and small groups.
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As The For-Profit World Moves Into An Elder Care Program, Some Worry
PACE, a little-known Medicare program that helps keep older people in their own homes, is allowing for-profit companies in. Tech and venture capital have expressed interest.
By Sarah Varney