Medicare & Medicaid

In the first year, there is a zero percent discount; the second year, a one percent price cut; and in the third, fourth and fifth years, the two percent price cut goes into effect.

The five-year mandatory model would give healthcare providers a standard set of quality measures, including measures for complications and readmissions.

CMS plans to cut payment for 60-day care episodes by nearly $81, or 1.72 percent. The agency said the proposed rule would save the government $380 million.

The Government Accountability Office believes Congress should slash the financial incentives the government pays hospitals in the 340B drug program, it said in a new report, over concerns that disproportionate share hospitals are prescribing more than other facilities.

The multimillion dollar fine is more than the hospital's annual revenue and is believed to be the largest ever applied to a community hospital.

CMS is proposing that physicians be able to make case-by-case exceptions to the rule, classifying certain short stays as inpatient so that they would be paid under Medicare Part A.

Gynecologists ordered fewer preventive services for women who were insured by Medicaid than for those with private coverage, the National Ambulatory Medical Care Survey found.

The dedicated litigation team will focus on the smaller entities such as individual physicians and executives in civil penalties and exclusion cases.

According to the U.S. Department of Justice, DaVita devised a scheme to maximize the amount of drugs it waste, billing Medicare for the price of the dose and the waste.

All 17 participating practices improved quality in at least three of the six quality measures for the demonstration in the first performance year, and four met all six quality measures.