Medicare & Medicaid

The ratio of private insurance to Medicare payments is even higher than the 209 percent average at some hospitals.

The spread amount must be included in the calculation of medical loss ratios that managed Medicaid and CHIP plans use to set premium rates, CMS says.

Patient Advocate Foundation Vice President Rebekah Angove discusses the difference between patient engagement and patient experience and how patients and providers can more effectively navigate the complexity of healthcare costs.

Study recommends employers pressure health plans and hospitals to shift to contracts based on a multiple of Medicare or other prospective case rates.

Fraudulent medical practice is estimated to cost the federal government between $90 to $300 billion dollars annually.

Medicaid paid Acadia's facilities a much higher amount for blood and urine tests than its lab had charged for the analysis.

If pharmaceutical manufacturers are ashamed of their drug prices, then change the price, HHS Secretary Alex Azar says.

An estimated 2 percent of the increase will be due to the return on the health insurance tax.

The actions represent components of a strategy to address barriers to medical innovation in the Medicare program.

Two primary concerns of a single-payer system are the methods it would use to pay providers and set their payment rates, both of which would affect hospital and physician revenues.