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A pilot project in which doctors provide primary care at home for very frail Medicare beneficiaries saved $25 million in 2014, and nine of the 14 practices participating earned bonuses totaling nearly $12 million.
Federal officials delayed the release of the ratings after the hospital industry and members of Congress objected to the formula, saying it worked against hospitals that take the patients that are the toughest to treat.
The U.S. faces a variety of serious concerns beyond just the future of the federal health law.
A May Health Affairs study examines how Medicare’s eligibility age affects spending and prices, as well as the volume of services used by patients.
New research highlights the paradox in the federal program to improve hospital quality.
Bad coordination and communication can put patients at risk as they're discharged from a hospital.
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 idea is this: Negotiate a flat price with a few hospitals to cover surgery, physical therapy and certain other post-op treatments. Companies save money and hospitals gain patients.
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.
Nearly half of academic medical centers will be penalized by the government this year for high rates of infections and other avoidable complications, but the hospitals say it shows they screen better for problems.
Researchers found that the facility fees hospitals and their clinics routinely add to the bill helps drive the price increases.
A new study from the National Academies of Sciences seeks best practices for health providers whose patients are disproportionately disadvantaged.
In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.
A study finds that the program, developed by the YMCA, helped beneficiaries improve their diets, get more exercise and lose weight.
More Medicare Part D drug plans are requiring coinsurance rather than copayments for more types of medications, making beneficiaries’ costs less predictable.
The proposal that Medicare made this month to better control prescription drug costs involves testing strategies used with some success in the private sector.
Physicians can now bill Medicare $86 for up to 30 minutes of counseling given to patients about end-of-life planning, but many doctors may need training to have those talks.
When people retire from federal government jobs, they can keep their federal plan as primary coverage but may face penalties for late Medicare sign-ups later on.
A new policy preserves Cigna’s access to bonuses while the insurer fixes “widespread” failures in its Medicare plans.
Regulators unveiled a two-part plan that will change payments and test ways in which the Medicare Part B program can change the incentives that some policy experts say encourage doctors to choose higher-cost medications.
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