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Medicare & Medicaid

By Bernie Monegain | 11:11 am | July 07, 2016
CMS is now calling for clinicians, hospitals, and critical access hospitals to use a 90-day EHR reporting period in 2016 - down from a full calendar year for returning participants in the government's EHR Incentive Program. They also proposed lowering the bar for achieving Stage 3 objectives, eliminating the Clinical Decision Support and Computerized Provider Order Entry objectives and measures for eligible hospitals and critical access hospitals.
By Kaiser Health News | 09:47 am | July 07, 2016
Parents who say their children with autism are legally entitled to applied behavioral analysis -- or ABA -- treatment are butting heads with Texas officials. And without Medicaid coverage, they must either forgo the therapy or find a way to pay for individual insurance plans that help pick up the costs.
By Susan Morse | 09:05 am | July 07, 2016
Proposal would eliminate any potential financial pressure clinicians may feel to over-prescribe pain medications, especially opioids.
By Henry Powderly | 02:40 pm | July 06, 2016
American Hospital Association-backed report says ignoring socioeconomic differences may create the appearance of quality issues where there are none.
By Susan Morse | 01:33 pm | July 06, 2016
Many clinicians report feeling pressure to overprescribe opioids because scores on the pain management questions are tied to Medicare payments.
By Jeff Lagasse | 10:24 am | July 05, 2016
CMS said the initiative is part of a broader effort to improve care and spend money more wisely by making use of available data.
By Susan Morse | 01:13 pm | July 01, 2016
Theft of a CHCS mobile device compromised the protected health information of hundreds of nursing home residents, according to the federal agency.
By Susan Morse | 11:51 am | July 01, 2016
Risk adjustment transfers funds from issuers with low risk to plans with high actuarial risk.
By Susan Morse | 01:32 pm | June 30, 2016
Highest paid physician types for 2015 were nuclear medicine, neurological surgery; orthopedic surgery; radiology; and nueromusculorskeletal medicine.
By Kaiser Health News | 04:23 pm | June 29, 2016
Latest effort still falls short of what's needed, says American Hospital Association.