Medicare & Medicaid
Federal budget cuts mean hard choices for states, but there’s a path forward beyond scarcity or sacrifice, says Verlon Johnson, chief strategy officer at Acentra Health.
The move bucks a current trend of MA providers exiting certain markets, such as Centene and UnitedHealthcare.
Hospitals should know the cost of providing care so that if they’re losing money on a specific service they can go to payers and renegotiate, says Kelly Arduino, Healthcare Industry Leader at advisory firm Wipfli.
New blood needed at CDC to remove officials with conflicts of interest, bad judgment and political agendas, Kennedy says.
More than $6M in claims were allegedly submitted to Medicare for DME and genetic testing that were medically unnecessary.
2024 had the highest share of ACOs receiving performance payments and most savings for ACOs and Medicare.
“Providers don’t want to see rebate models, period,” says Attorney Jeff Davis.
The nursing home’s severe understaffing, a result of financial fraud, led to several patient deaths, the New York AG finds.
Monarez "is not aligned with the president’s agenda of Making America Healthy Again," says White House spokesperson.
MA pays 10% to 15% less than what the government pays in traditional Medicare, report says.