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Medicare & Medicaid

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.
By Jeff Lagasse | 12:23 pm | January 08, 2018
The ACOs will add 1.5 million Medicare patients, bringing the total to 10.5 million.
By Jeff Lagasse | 12:41 pm | January 04, 2018
The Trump Administration nominated Azar as HHS head in order to strengthen Medicare and Medicaid, while addressing parts of the ACA and drug prices.
By Susan Morse | 05:33 pm | January 03, 2018
The provider and insurer forged a multi-year partnership to serve United and Medicare Advantage members in southwest Ohio.
By Beth Jones Sanborn | 01:52 pm | October 31, 2017
In 2016, the total national spending on pay-for-quality hit $354.5 billion.