Reimbursement
The Centers for Medicare and Medicaid Services will reverse a longstanding unpopular position on reimbursement for smartphone-connected continuous glucose monitors, CMS announced.
Between 2014 and 2016, total payments fell short by more than $12 billion.
The Kentucky-based skilled nursing provider also allegedly forged pre-admission certifications of patient need for skilled nursing to Tennessee's Medicaid program, DOJ said.
For the first time, CMS is holding a state fully at risk for the total cost of care for Medicare beneficiaries.
More than six in 10 said that a 15 percent increase in premiums would make their current group health insurance coverage unaffordable.
The Department of Justice normally defends laws in court, but will not in the case of a lawsuit brought by Texas and 19 other GOP-led states against the government.
Executives say the top reason for launching a Medicare Advantage plan is the opportunity to capture more value.
Medicare's cost-containment strategy has been rolled out on a trial basis for more than 2,000 U.S. hospitals and new evidence suggests there's a reason CMS should continue it.
The trustees' report shows Part D spending projections are lower than what was projected last year.
Unlike a traditional ACO, providers can earn rewards for value-based performance but are not charged membership or service fees.