Policy and Legislation

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Amid a massive backlog of hospital inpatient claims appeals at the Office of Medicare Hearings and Appeals, the Centers for Medicare & Medicaid Services is giving providers the chance to settle up and get paid - at least in large part.

With an annual rate of 11,000 fatalities from falls in U.S. hospitals, falls are a persistent concern for healthcare facilities. They raise issues of care quality and are increasingly a financial issue.

In its June report to Congress, MedPAC made recommendations that would change the way post-acute care providers are reimbursed. Reviews from providers are mixed.

A newly released scorecard by the AARP Policy Institute, with support from The SCAN Foundation and The Commonwealth Fund, ranks states on how well each delivers long-term services and supports to older adults and people with disabilities.

The ACA created the Center for Medicare and Medicaid Innovation to launch experiments in every state, changing the way doctors and hospitals are paid, building networks between caregivers and training them to intervene before chronic illness gets worse, but one of the biggest experiments is the center itself.

Last month the Centers for Medicare & Medicaid Services published its proposed rule to update the Medicare Hospital Outpatient Prospective Payment System and the Ambulatory Surgical Center Payment System rates and policies for calendar year 2015. Here's what you need to know.

The Department of Health and Human Services announced today that providers, payers and clearinghouses must transition to the classification system by Oct. 1, 2015.

In this video from the Healthcare Triage series, writer Aaron E. Carroll, MD, MS, debunks the notion of tort reform as an effective measure of reducing malpractice claims and significantly improving cost control in healthcare.

Medicare's Hospital Insurance Trust Fund won't run out of money until 2030. That's four years later than projected last year and 13 years later than projected the year before the passage of the Affordable Care Act.