Reimbursement
While healthcare provider directories have always been hard to maintain, new regulations can mean costly fines if insurers fail to keep accurate, up-to-date information on the physicians who are in their health plans.
Starting April 1, the Centers for Medicare and Medicaid Services will pay an estimated 800 hospitals across 67 metro areas bundled payments for inpatient knee and hip surgeries.
Tucked in remarks the president made Tuesday on the opioid epidemic was his announcement of a new task force on mental health parity -- aimed at ensuring that people with mental illnesses and substance abuse problems don't face discrimination in the health care system.
More wages, less health insurance. In a recent survey, one in five people with employer-based coverage said they would opt for fewer health benefits if they could get a bump in their wages. That's double the percentage who said they would make that choice in 2012.
The Centers for Medicare and Medicaid Services will requiring states to provide mental health and substance abuse assistance as they would any other medical services for low-income adults and children.
Backlogs in processing Medicaid benefits have left thousands of beneficiaries without care, according to the Kansas Health Institute News Service.
The Centers for Medicare and Medicaid Services on Thursday said it will test a new payment model that would align reimbursement rates for comprehensive assessments done at skilled nursing facilities with rates already paid to hospitals.
An $11.8 million federal diabetes prevention model tested at the YMCA saved Medicare about $2,650 for each person enrolled, enough to cover the cost of the program, according to an announcement Wednesday by Health and Human Services Secretary Sylvia M. Burwell.
Republican committee leaders in the Senate and House are taking Health and Human Services Secretary Sylvia Burwell and Centers for Medicare and Medicaid Services acting Administrator Andy Slavitt to task for 316 security incidents on HealthCare.gov.
Montana's new Medicaid expansion just got its first progress report, and it is exceeding expectations.