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Medicare & Medicaid

By Beth Jones Sanborn | 12:08 pm | January 19, 2018
The Centers for Medicare and Medicaid Services said that an "exceptional circumstance special enrollment period" is available for those who move, or are temporarily displaced.
By Beth Jones Sanborn | 04:36 pm | January 17, 2018
Hospitals with high Medicaid exposure in states running out of funds in the near-term are most at risk, Moody's report says.
By Beth Jones Sanborn | 02:37 pm | January 15, 2018
Without enough funding to cover March, many states would not be able to cover all children beyond February without accessing redistribution funds, report says.
By Susan Morse | 11:57 am | January 12, 2018
Here's a look at the voluntary program the Medicare Payment Advisory Commission recommends instead of the Merit-based Incentive Payment System.
By Susan Morse | 02:02 pm | January 11, 2018
The Centers for Medicare and Medicaid Services said the new policy released on Thursday is for working-age, non-pregnant beneficiaries.
By Jeff Lagasse | 12:08 pm | January 11, 2018
Even hospitals that are successful at reducing 30-day readmissions today are compared against peers -- and that means they have to continuously get better just to keep up.
By Beth Jones Sanborn | 02:42 pm | January 10, 2018
If future policies are adopted that eliminate Medicaid expansion and slash the number of insured Americans, experts say many hospitals will fail and be forced to close their doors.
By Jeff Lagasse | 11:46 am | January 10, 2018
Forming even informal arrangements with Area Agencies on Aging can help a hospital's bottom line by keeping 30-day readmission rates down and reduce avoidable nursing home usage as part of population health management programs.
By Susan Morse | 10:40 am | January 10, 2018
The agency's Innovation Center said the new Bundled Payments for Care Improvement Advanced model is the first advanced APM that would qualify under MACRA.
By Jessica Davis | 02:51 pm | January 09, 2018
While the number of states contributing data was up from 18 to 49, challenges hindered CMS' ability to effectively manage the program.