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Medicaid spends billions on unintended pregnancies, and federal officials say better use of long-acting contraceptives, such as IUDs, offer advantages for women and are cost-effective.
Investigators from the GAO call for HHS to improve oversight of the Medicare appeals process and streamline it to make sure repetitive claims are handled more efficiently.
Researchers report that performance standards set by federal health officials may have led to many patients being dropped from transplant lists without improving survival rates.
New research highlights the paradox in the federal program to improve hospital quality.
The effort, which will replace a controversial reimbursement schedule that began in 1997, is designed to move away from paying for quantity of services and focus instead on quality.
The “overall hospital quality” rating is designed to help consumers who are sometimes confused by the variety of quality measures that the government already provides. But members of Congress had asked for the delay because of concerns that the methodology for the stars was not accurate.
The proposal that Medicare made this month to better control prescription drug costs involves testing strategies used with some success in the private sector.
A new policy preserves Cigna’s access to bonuses while the insurer fixes “widespread” failures in its Medicare plans.
The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.
A Medicare trial aimed at averting billing fraud and waste in nonemergency ambulance service in eight states is drawing complaints from patients’ families and ambulance companies.
Arkansas Gov. Asa Hutchinson will meet with federal officials to negotiate the future of the state’s Medicaid expansion program, which leading Republicans say could be killed if it’s not changed.
The new rules should help make sure people understand when they are eligible for a special sign-up period if they move.
The goal is to improve health and potentially reduce spending.
More than half of these hospitals were also punished last year as the government tries to leverage taxpayer money to improve the quality of care.
Through what’s known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.
But CMS Acting Administrator Andy Slavitt declines to predict fate of the 13 remaining state exchanges in congressional testimony.
Enrollment for private Medicare Advantage and Part D drug plans begins Oct. 15 and consumer advocates urge seniors to check out prices to find the best deals.
The Government Accountability Office found bonuses and penalties have been small, and hospital performance has been steady.
Congressional watchdog says the government checks few health plans to ensure accurate provider listings and adequate access for seniors on Medicare Advantage.
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