Medicare & Medicaid
"The future of accountable care depends on scale," says Lynn Barr, CEO of Caravan Health.
Medicaid waivers will not include lifetime limits, says CMS Administrator Seema Verma.
New research suggests members shifting out of Affordable Care Act marketplaces would drive ACA claims upward.
Memorial Hermann allegedly billed for inpatient services for Medicare beneficiaries that could have been treated on outpatient basis, the DOJ said.
Medicare Advantage insurer Clover paired its data and care management with YouScript's genomic testing to reduce adverse drug interactions.
Mitchell Katz vows to eliminate the budget gap with a culture shift to focus on billing, add profitable services and reduce unnecessary testing.
Healthcare and legal experts say if work requirement policies persist many low-income individuals with chronic conditions would lose insurance.
Agency said in new Rural Health Strategy that it aims to improve access to care, increase quality and cuts costs by reducing readmissions and unnecessary ER visits.
Kentucky Indiana and Arkansas have also received ACA waivers for work requirements under policies adopted by the Trump Administration in November.
Cuts could destabilize current specialty care referral networks serving children in need of specialized care.