Reimbursement
When Sen. Marco Rubio (R-Fla.) said in the Republican response to President Barack Obama's State of the Union address that "the biggest obstacles to balancing the budget are programs where spending is already locked in," he pulled no punches and pointed directly at Medicare.
WellPoint's board of directors have selected a health system executive, Joseph Swedish, to head the company after last August's investor-stoked departure of Angela Braly.
Rural hospitals are girding for harsh impacts from a 2 percent decrease in Medicare reimbursements under federal spending sequestration, set to take effect in March, by taking advantage of how they already operate, a new report suggests.
As the IRS finalizes regulations for the Affordable Care Act's individual and employer mandates, the complex eligibility and exemption framework being proposed has some legal analysts worried that working families in certain income brackets won't be eligible for premium support.
Out of the 258 accountable care organizations (ACOs) recognized by the Centers for Medicare and Medicaid Services, 60 of them, across more than 15 states, have banded together to form the National Association of ACOs.
Peoria, Ill.-based Methodist Health Services Corp. has filed a lawsuit accusing the region's largest provider of breaking antitrust laws with "exclusionary" contracts that limit commercial insurers' ability to contract with other hospitals.
Methodist Health Services Corp., a Peoria, Ill.-based health system, has filed a lawsuit accusing the region's largest provider of breaking antitrust laws with "exclusionary" contracts that limit commercial insurers' ability to contract with other hospitals.
A new report by the Office of Inspector General (OIG) comes as a warning to Medicaid providers who don't keep careful watch over their books.
The association between mental health and physical health has a long history, yet the two disciplines often are viewed as disparate pieces of patient care. Making this link between a patient's physical and mental well-being is becoming paramount in terms of streamlining a patient's medical lifecycle. Bridging the gap is essential for creating a smarter roadmap to understand these cause-and-effect relationships and ending this false duality.
A bill introduced in the House this week by Reps. Allyson Schwartz (D-Penn.) and Joe Heck, MD, (R-Nev.) has once again raised hopes that the sustainable growth rate formula (SGR) payment model for Medicare can finally be repealed.