Medicare & Medicaid
High performing ACOs maintained a high use of primary care services and reduced spending by an average of $673 per beneficiary.
CMS has waived document requirements to ensure medical facilities can deliver care to displaced individuals.
WellCare will provide Medicaid and Medicare services to Mission Health's six hospitals, other providers.
The ACA gave states the option to put their own stamp on the law and Kentucky was the only Southern state that chose to do so with Kynect.
CMS will focus only on providers and suppliers that have high claim error rates or billing practices that vary significantly from their peers.
The state's Human Services department migrated its legacy eligibility systems to a modernized network in 2014, but the Inspector General's office found flaws caused by insufficient controls.
Initiatives attempted "wholesale practice transformation," which yielded little financial gain or improvements in quality, authors wrote.
The new consumer-focused website compares hospice agencies with self-reported quality reporting which some experts say has limited utility.
Sanofi, one of Mylan's competitors, brought the matter to the United States Attorney's Office in 2014, filed a complaint in 2016.
Providers await new voluntary models expected to soon be released.