Medicare & Medicaid

Hospital was able to better grasp what it was was already doing well, and what it was not, in terms of clinical documentation thanks to homegrown software.

States qualify by having at least 85 percent of their Medicaid population in managed care or by reducing provider payments rates.

An electronic prescription drug monitoring program network would track controlled substance prescriptions in a state.

The FoundationOne CDx test is the first breakthrough-designated in vitro diagnostic test and can detect genetic mutations in 324 genes.

Moving more physicians toward APMs is a "top strategic goal," says CMS Chief Medical Officer Kate Goodrich.

MACPAC also wants more guidance on the implementation of telehealth and weighs in on DSH payments.

The findings come as pay-for-performance programs are being scrutinized due to the absence of strong evidence that they actually improve care quality.

Online retail giant's reach into the Medicaid market to take on Walmart among lower income customers could bring disruption soon while the industry awaits more details about the deal with Berkshire and JPMorgan.

At issue are discrepancies between state survey agencies and CMS-approved accrediting organizations, such as the Joint Commission.

CMS has begun experimenting with bundled payment models in the hope of reducing healthcare cost inflation, boosting care quality.