Medicare & Medicaid

The Centers for Medicare and Medicaid Services will extend and expand a temporary moratorium on provider enrollment in six states meant to combat fraud, and at the same time, has created a new related demonstration project to allow for certain exceptions to the moratoria and heightened screening requirements for new providers, the agency announced Monday.

Hospitals cannot simply throw technology at the new payment model. Instead, thriving under MACRA will take leadership and analytical thinking, IT expert says.

Experts estimate that about half of all people turning 65 today will need daily help as they age, either at home or in nursing homes. Such long-term care will cost an average of about $91,000 for men and double that for women, because they live longer.

The Centers for Medicare and Medicaid Services announced a number of payment and policy changes last week, addressing Medicare inpatient rehabilitation facilities, hospice benefit and skilled nursing facilities.

Despite the high cost of specialty drugs driving up expenditures, Medicare Part D prescription drug plan premiums are projected to rise by only about $1.50 over the average premium last year, the Centers for Medicare and Medicaid Services announced Friday.

Hospital overpaid physicians and rewarded them based on their referral of patients to the facility, the Department of Justice said.

CMS is also updating wage index values, which has seen some inpatient psychiatric facilities change status from rural to urban.

The complaint alleged that certain neurosurgeons employed by UPMC submitted claims for assisting with or supervising surgical procedures when they did not.

The Centers for Medicare and Medicaid Services on Wednesday released its star ratings for individual providers on its Hospital Compare website.

With Medicare's specific approval, a health insurance company can enroll a member of its marketplace or other commercial plan into its Medicare Advantage coverage when that individual becomes eligible for Medicare.