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Medicare & Medicaid

By Jeff Lagasse | 04:04 pm | March 05, 2019
A DBT-inclusive bundled price was associated with significantly reduced recall rates, 13 percent versus 9.4 percent.
By Susan Morse | 03:48 pm | March 04, 2019
There's pent-up demand to get into the model that qualifies as an advanced APM under MACRA, but first providers want to see if other participants are staying in.
By Jeff Lagasse | 03:37 pm | March 04, 2019
For a number of approaches, the paper examines where the plan would operate and who would be eligible.
By Susan Morse | 05:12 pm | February 28, 2019
The number of vulnerable patients, social risk factors, and other issues beyond a provider's control, lead to misleading ratings, Essential Hospitals says.
By Susan Morse | 03:20 pm | February 28, 2019
Government has a history of slashing provider payments for government health programs; Medicare and Medicaid reimburse providers less than the cost of delivering care, AHA says.
By Susan Morse | 05:28 pm | February 26, 2019
End rebates for both Medicare and commercial plans, and they will lower list prices, pharmaceutical executives say.
By Susan Morse | 05:36 pm | February 25, 2019
On Tuesday morning, executives from seven pharmaceutical companies will face ...
By Susan Morse | 05:48 pm | February 22, 2019
Planned Parenthood vows to fight rule, which American Medical Association calls a gag order between provider and patient.
By Susan Morse | 03:57 pm | February 22, 2019
Implementing rules on price transparency and interoperability would be helped by insurers sharing information publicly, asserts the American Hospital Association.
By Susan Morse | 04:44 pm | February 21, 2019
First "CMS: Beyond the Policy" podcast explains physician fee schedule for 2019, in a conversational format.