Susan Morse
The Centers for Medicare and Medicaid Services is scrapping its policy of automatically reducing the star ratings for contracts under sanction, a decision that affects the bonus payments and rebates for plans in a state of penalty.
The Centers for Medicare and Medicaid Services on Wednesday released data on 15,055 skilled nursing facilities, over 2.5 million stays, and almost $27 billion in Medicare payments for 2013.
Physician and pharmaceutical groups have come out swinging against the Centers for Medicare and Medicaid Services' proposal to reduce the reimbursement price for Medicare Part B prescription drugs.
The current Medicare Part B drug payment methodology can penalize doctors for selecting lower-cost drugs.
The Centers for Medicare and Medicaid Services has levied a $3.1 million penalty against Humana, the single largest imposed against 129 organizations found in violation of Medicare Advantage and prescription drug plans in a 2015 audit.
The U.S. Department of Justice is investigating Universal Health Systems of Pennsylvania and certain affiliated behavioral health centers for alleged billing fraud, Universal reported in a Feb. 25 filing with the Securities and Exchange Commission.
LAS VEGAS - The Staten Island Performing Provider System is running into all of the challenges inherent in implementing a value-based model for Medicaid payment reform in New York State.
The Delivery System Reform Incentive Payment Program has as its goal to reduce avoidable hospital use by 25 percent over the next five years.
LAS VEGAS -- The HIMSS Revenue Cycle Improvement Task Force is asking for case studies of patient financial experiences to make recommendations for improvements that will help providers deal with the estimated 30 percent of bad debt that plagues health systems.
LAS VEGAS -- When Inova Health saw that Affordable Care Act initiatives for value-based care would cut 7 percent, or $220 million, out of the $3 billion health system's successful fee-for-service revenues, the northern Virginia provider knew it needed to change, said President and COO Mark Stauder.