Medicare & Medicaid

Both states are struggling over whether or not to broaden Medicaid programs to insure more citizens.

Finance execs at the big payers all say the Medicare Advantage market will only get bigger, and more lucrative, as baby boomers retire and CMS adjusts payment rules.

Lower court's decision about disproportionate share hospital payments undermines the ability HHS has to administer Medicare reimbursement, Azar says.

The insurer signed up 250,000 new Medicare Advantage members during the first quarter.

The data provides detailed information about services to beneficiaries enrolled in a MA managed plan.

Thomas Jefferson University Hospital has embarked on an initiative that is yielding insights that could prove valuable to any hospitals looking for ways to avoid federal reimbursement penalties from the Centers for Medicare and Medicaid Centers.

Letter from numerous groups to Seema Verma called out policy changes, slow updates to QPP website and "lack of timely notification" as reasons to shorten the 2018 reporting period.

Doctors have balked at the increasing burden of implementing metrics, which cost roughly $15.4 billion annually to meet.

The agency wants to overturn the court ruling against the agency's final rule that includes private insurance and Medicare reimbursement in setting payment limits.

America's Health Insurance Plans is among organizations asking Azar, HHS to stop the routing of dialysis patients who are eligible for Medicare, Medicaid to individual coverage carrying higher reimbursement rates.