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Medicare & Medicaid

By Susan Morse | 10:02 am | December 22, 2015
As prescription drug prices continue to drive up healthcare spending, the Centers for Medicare and Medicaid Services is creating a new online dashboard to increase transparency and address affordability. Read the story for the full price breakdown.
By Susan Morse | 06:30 pm | December 21, 2015
CMS said 540 drugs had a 25-percent increase for $13.7 billion, or 11 percent of program costs.
By Kaiser Health News | 10:32 am | December 21, 2015
The group ColoradoCareYES gathered enough signatures -- more than 100,000 -- to put a single-payer health system on the ballot next fall.
By Susan Morse | 11:17 am | December 19, 2015
The data released Friday in the "Home Health Agency Utilization and Payment Public Use File" contains information on utilization, payments, and submitted charges organized by provider, state and home health resource group.
By Susan Morse | 02:09 pm | December 18, 2015
Thirty-two hospitals in 15 states, including the Cleveland Clinic and hospitals associated with the Community Health Systems, Tenet and Banner Health, are on the hook for $28 million to settle allegations they submitted false claims for inpatient care to perform minimally-invasive spinal surgery that could have been done in a less expensive outpatient setting, according to the U.S. Justice Department.
By Susan Morse | 09:35 am | December 18, 2015
Don Goldmann, chief medical and scientific officer for Institute of Healthcare Improvement, thinks the Centers for Medicare and Medicaid Services needs to change its methodology for ranking providers by their number of hospital-acquired infections as many respected hospitals are seeing payment reductions in the program.
By Kaiser Health News | 10:30 am | December 17, 2015
After the last of the baby boomers become fully eligible for Medicare, the federal health program can expect significantly higher costs in 2030 both because of the high number of beneficiaries and because many are expected to be significantly less healthy than previous generations.
By Kaiser Health News | 11:05 am | December 16, 2015
A coalition of civil rights advocates Tuesday called for a federal investigation of California's Medicaid program, alleging that it discriminates against millions of low-income Latinos by denying them equal access to health care.
By Kaiser Health News | 10:40 am | December 16, 2015
Obesity is redrawing the common imagery of old age: The slight nursing home resident is giving way to the obese senior, hampered by diabetes, disability and other weight-related ailments. Facilities that have long cared for older adults are increasingly overwhelmed -- and unprepared -- to care for this new group of morbidly heavy patients.
By Beth Jones Sanborn | 03:31 pm | December 14, 2015
The owner of an Illinois home healthcare company is facing conspiracy and fraud charges after being indicted in an alleged kickback scheme that defrauded Medicare for at least $450,000.