Medicare & Medicaid
The episode payment models and the cardiac rehab incentive models were designed as mandatory payment models to test the effects of bundling cardiac and orthopedic care beginning in 2018.
CMS is modifying the risk adjustment methodology for states where insurers have increased their silver metal plan rates based on an end to cost-sharing reduction payments.
Nationwide, about one percent of Medicare beneficiaries enrolled in 2016 received advance-care planning talks, according to health policy analysts.
The Department of Justice said the elaborate fraud scheme "takes brazen to a whole new level."
Rising costs for 313 brand-name drugs lifted Medicaid's spending by as much as $3.2 billion in 2016.
A new Kaiser Family Foundation survey finds almost 6 in 10 people think the Republicans should work with Democrats to improve the health law.
Survey evaluated responses from 750 group practices, with largest representation from independent practices, groups of 6 to 20 physicians.
Some states had already begun negotiations with the Centers for Medicare and Medicaid Services on securing Medicaid waivers, Fitch said.
Medicare is punishing 2,573 hospitals starting in October by as much as 3 percent a year according to federal records released Wednesday.
Inpatient hospitals will see increase of $800 million over the previous year, but long-term care facilities face $110 million cut in payments.