Medicare & Medicaid

Thomas Jefferson University Hospital has embarked on an initiative that is yielding insights that could prove valuable to any hospitals looking for ways to avoid federal reimbursement penalties from the Centers for Medicare and Medicaid Centers.

Letter from numerous groups to Seema Verma called out policy changes, slow updates to QPP website and "lack of timely notification" as reasons to shorten the 2018 reporting period.

Doctors have balked at the increasing burden of implementing metrics, which cost roughly $15.4 billion annually to meet.

The agency wants to overturn the court ruling against the agency's final rule that includes private insurance and Medicare reimbursement in setting payment limits.

America's Health Insurance Plans is among organizations asking Azar, HHS to stop the routing of dialysis patients who are eligible for Medicare, Medicaid to individual coverage carrying higher reimbursement rates.

Despite favorable conditions, hospitals must shore up efficiencies, distinguish themselves from competitors, and learn to 'make it on Medicare payments,' experts say.

Government alleged Banner Health hospitals intentionally overcharged Medicare patients, rendered inpatient care that could have been handled on outpatient basis.

House Speaker was a long-running opponent to the Affordable Care Act and his departure raises questions about how Republicans will approach healthcare moving forward.

The CBO's report follows similar projections that the Centers for Medicare and Medicaid Services laid out earlier this year.

In commercial contracts Caremark kept the spread between the price it negotiated with the pharmacies and what it charged its PBM customers, lawsuit claims.