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Medicare & Medicaid

By Susan Morse | 04:51 pm | November 09, 2016
The money is to support prevention activities and treatment services for health conditions related to the Zika virus, CMS said.
By Susan Morse | 02:51 pm | November 02, 2016
In 2014, recovery auditors identified $2.39 billion in overpayments and $173.1 million in underpayments repaid to providers.
By Susan Morse | 02:37 pm | November 02, 2016
Medicare Advantage takes on capitated risk, so why don't these plans qualify as an advanced alternative payment model?
By Susan Morse | 06:22 pm | November 01, 2016
Payment differences have provided an incentive for hospitals to acquire physician offices.
By Susan Morse | 03:56 pm | November 01, 2016
The agency is also adding a three-item care transition dimension to the HCAHPS survey in 2018.
By Susan Morse | 10:24 am | November 01, 2016
Home health agencies that do not submit quality measure data to CMS will see a 2 percent reduction in their annual payment.
By Susan Morse | 02:11 pm | October 31, 2016
Facilities that do not meet total performance scores will see up to a 2 percent reduction in the quality incentive program.
By Kaiser Health News | 09:41 am | October 31, 2016
Premium assistance programs have come under fire from insurers.
By Jeff Lagasse | 12:20 pm | October 28, 2016
Patient factors must weigh equally under Hospital Readmissions Reduction Program to avoid crippling penalties for safety-net facilities, study says.
By Kaiser Health News | 08:55 am | October 28, 2016
Insurers can transfer customers who have purchased policies through an ACA insurance exchange, other commercial plans when they become eligible.