Susan Morse
The proposal by the Health Resources and Services Administration addresses patient eligibility definitions, which affects thousands of hospitals getting the drug discount.
The former medical director of a now-defunct healthcare provider in Miami, along with three therapists formerly employed there, have been convicted for their roles in fraudulently billing Medicare and Florida Medicaid for more than $63 million, according to the Department of Justice.
William Rogers, MD, director of the Physicians Regulatory Issues Team at the Centers for Medicare and Medicaid Services, will act as ICD-10 ombudsman to the federal agency, acting CMS administrator Andy Slavitt announced Thursday.
Amputees against proposed changes to Medicare coverage that would result in less expensive, but inferior, prosthetics being given to patients gathered in Baltimore Wednesday to ask officials to strike down the proposal.
Another Pioneer ACO participant, Beacon Health in Maine, is considering exiting the Centers for Medicare and Medicaid Services program after being hit with millions in penalties two years in a row.
Nine ACOs that partner with CHS generated $27 million in the Medicare Shared Savings Program.
Facing losses for two years in a row, Dartmouth-Hitchcock Medical Center is considering pulling out of Pioneer ACO model, according to Dr. Robert A. Greene, executive vice president and chief population health management officer for the New Hampshire-based accountable care organization.
The merger consolidates technology and revenue cycle services of both companies to serve over 610 hospitals and 300 clinics in 46 states.
Under the threat of a potential lawsuit, the Catholic-affiliated Mercy Medical Center in Redding, California, on Thursday backed down from its decision to deny a woman's request for a postpartum tubal ligation, a sterilization procedure.
Narrow insurance networks are gaining traction across the United States, as insurers have limited options for offering plans at different price points, according to a report by the Leonard Davis Institute of Health Economics and the Robert Wood Johnson Foundation.