Medicare & Medicaid
Nearly half of the nation's academic medical centers are being punished through one of the federal government's sternest attempts to promote patient safety.
Bowing to pressure from the hospital industry and Congress, the Obama administration on Wednesday delayed releasing its new hospital quality rating measure just a day before its planned launch.
Nicole Lamoureux, CEO of the National Association of Free and Charitable Clinics, said in many states these organizations are expanding their mission to make sure they can serve the underinsured-people who have coverage but whose premium and deductible represents 10 percent or more of their income.
A single, coordinated approach to performance reporting is needed to make promised Medicare payment reforms work, the American Medical Association and other physician groups are expected to tell lawmakers Tuesday morning during a Subcommittee on Health hearing on Capitol Hill.
In states that expanded Medicaid under the Affordable Care Act, low-income adults were more likely to see a doctor, stay overnight in a hospital and receive their first diagnoses of diabetes and high cholesterol, according to a study published Monday.
Rule affects 3,330 acute care hospitals, 430 long-term care hospitals.
The more than 1,500 healthcare providers taking part in the Bundled Payments for Care Improvement initiative may extend their participation in Models 2, 3 and 4 through September 30, 2018, according to the Centers for Medicare and Medicaid Services.
A Chicago couple used their healthcare business to bilk Medicare out of $45 million while also conspiring to force a housekeeper to work against her will, according to an indictment returned this week in federal court in Chicago.
A former healthcare clinic consultant and Medicare biller has been sentenced to a little more than 11 years in prison, and ordered to pay a $100,000 fine, for her role in a $63 million healthcare fraud scheme involving a now-defunct Miami health provider, the Department of Justice announced earlier this week.
Accountable care organizations that participated in the first full year of Medicare Shared Savings saw early reductions in spending that eroded a year later, according to a new study published in the New England Journal of Medicine.