Medicare & Medicaid
There is a widespread inability to support the access, exchange and use of electronic health information, the groups say.
Hospitals logged $39.3 million in improper Medicare Part B payments from 2016 to 2021, a new audit has found.
Physicians see the need to reduce the gaming of risk adjustment and to create accountability focused on outcomes, not processes.
Starting July 1, cost-sharing for insulin will be capped at $35 for a one-month supply.
Sentara is the Medicaid provider for 42% of all Medicaid lives in Virginia, with 100% in a managed care plan.
Pregnancy-related complications have worsened 9% since 2018, with a marked increase during the COVID-19 pandemic.
Centene made no admission of liability and maintained its business practices are lawful.
While spending cuts will be needed, more taxes will be required to ensure the short-term stability of the program, Urban Institute found.
A small percentage of providers are engaging in "high risk billing," which poses a risk to Medicare, OIG found.
The program will allow Oregon to provide community-based stabilization services to people experiencing mental health or substance use crises.