Medicare & Medicaid
Despite favorable conditions, hospitals must shore up efficiencies, distinguish themselves from competitors, and learn to 'make it on Medicare payments,' experts say.
Government alleged Banner Health hospitals intentionally overcharged Medicare patients, rendered inpatient care that could have been handled on outpatient basis.
House Speaker was a long-running opponent to the Affordable Care Act and his departure raises questions about how Republicans will approach healthcare moving forward.
The CBO's report follows similar projections that the Centers for Medicare and Medicaid Services laid out earlier this year.
In commercial contracts Caremark kept the spread between the price it negotiated with the pharmacies and what it charged its PBM customers, lawsuit claims.
Adults are four times as likely, and children at least two-times more likely, to receive certain preventative care services than uninsured, according to a report by America's Health Insurance Plans.
MA star ratings improvements can help plans expand their share of an increasingly saturated market.
Paying hospitals a fixed global budget reduced their prices but individual physicians continued to be paid on a fee-for-service basis.
"The survey strongly suggests that the majority of physicians would like to move away from the Medicaid status quo," Merritt Hawkins EVP says.
While conventional wisdom holds that it should be more challenging for doctors to bill private insurers, the results show that billing Medicaid is a bigger challenge.