Policy and Legislation
Most of the Medicare fee-for-service demonstration projects launched in the past two decades using disease management and value-based payments have failed to reduce costs, says a report issued yesterday by the Congressional Budget Office.
A Miami-area resident pleaded guilty Wednesday in U.S. District Court in Miami for her role in a Medicare fraud scheme that resulted in the submission of more than $200 million in fraudulent claims to Medicare, announced the Department of Justice, the FBI and the Department of Health and Human Services (HHS).
Spurred by federal funding to upgrade enrollment systems and incentive programs to encourage increased coverage, more than half of the states expanded and simplified their Medicaid and Children's Health Insurance Programs' eligibility, enrollment and renewal procedures in 2011, according to a new report from the Kaiser Family Foundation.
Insurance exchanges have to be up and running in all of the states by October 2013 in order to be able to cover people by January 1, 2014.
If the states don't do it, the feds have to be ready with a fallback exchange.
Jon Huntsman, one of the Republican candidates with a background of instituting new healthcare measures, dropped out of the presidential race yesterday.
The state attorneys general of 10 states and the District of Columbia have filed an amicus brief supporting the constitutionality of the individual mandate.
Recently, the IRS issued Notice 2012-9, called "Interim Guidance on Informational Reporting to Employees of the Cost of Their Group Health Insurance Coverage." Here are six things to note, among other apprises and information, about the updated healthcare reporting requirements from the IRS.
The Medicare Payment Advisory Commission (MedPAC) recommended Thursday that Congress reduce Medicare payment rates for nonemergent hospital visits to be the same as payments made for equivalent services delivered at doctor's offices.
The U. S. Department of Health and Human Services announced Thursday that an independent review of proposed health insurance rate increases by Trustmark Life Insurance Company affecting members in five states are "unreasonable."
Seventy five thousand beneficiaries may be cut by Maine's Medicaid system this year. MaineCare supports Maine's elderly, children and indigent, and while Governor Paul LePage stands by his cuts, beneficiaries and healthcare providers deem them "unacceptable."