Anthony Brino
Fraud in Kansas' Medicaid program increased 43 percent during the last fiscal year, reaching a state record of $33 million detected.
Massachusetts' first annual report on the commonwealth's healthcare market shows a limited movement away from fee-for-service and a market concentrated among a few large payers.
As Medicaid enrollment continues to grow, the financial sustainability of the risk-based managed care model is being tested.
A study comparing hospital costs for one of the most common surgeries suggests that it's more expensive when paid for by workers' compensation than by group insurance.
A recent study published in the Medicare & Medicaid Research Review concludes that use of ambulatory EHRs by community providers resulted in both higher and lower Medicaid costs.
Clinicians and program managers from two Beacon Communities and the ONC share lessons learned about patient engagement at the HIMSS Government Health IT Conference earlier this week.
Adding more mixed evidence to the Medicaid expansion debate, health researchers found that extending coverage to low-income, childless adults in Wisconsin corresponded with a decrease in preventable hospitalizations but also increases in outpatient and emergency department visits.
The Medicare Trustees have projected in their annual report that the program's hospital insurance trust fund will remain solvent until 2026, two years later than predicted last year, but with many uncertainties impacting the program, they urge reform.
The Medicare trust fund would be quite a few billion dollars smaller without the contributions of immigrants -- especially those in the U.S. illegally, the source of fractious debate in current immigration reform legislation.
The federal government has uncovered a string of alleged Medicare fraud attempts totalling $223 million and involving 89 individuals in eight cities.