News
The Department of Health and Human Services' financial watchdog, the Office of the Inspector General (OIG), has found that Medicare paid for $126 million in care provided to undocumented immigrants and prisoners, two groups of seniors in most cases excluded from the program.
On Wednesday, New York Attorney General Eric T. Schneiderman announced that his office recovered over $335 million for the state in 2012 that had been improperly claimed through fraud or abuse in the Medicaid system.
Driven partly by the Affordable Care Act and partly by advances in administrative IT, most states are set to offer online Medicaid and CHIP applications and most are making Medicaid information system upgrades, a Kaiser Family Foundation survey has found.
At the World Economic Forum (WEF) in Davos, Switzerland, a handful of American health insurance companies publicized their focus on issues like payment reform and the link between exercise and diabetes.
Overall spending on healthcare mergers, acquisitions and takeovers dropped 38 percent in 2012 compared to 2011, down from $231 billion to $143.3 billion, according to a recent report from research and publishing firm Irving Levin Associates.
A study published this week in the Journal of the American Medical Association shows that having Quality Improvement Organizations (QIOs) to improve care transitions decreased hospitalizations and re-hospitalizations of Medicare beneficiaries by nearly 6 percent over two years.
The U.S. Supreme Court solidified the federal government's authority to limit Medicare reimbursement appeals with a unanimous ruling to deny the claims of a group of hospitals seeking compensation for miscalculated payments going back to the late 1980s.
A battle is brewing between Mississippi Republican Gov. Phil Bryant and Insurance Commissioner Mike Chaney over an online health insurance marketplace that will allow an estimated 250,000 Mississippi residents to shop for coverage and find out if they qualify for government subsidies or Medicaid.
The U.S. Supreme Court has solidified the federal government's authority to limit Medicare reimbursement appeals, with a unanimous ruling denying the claims of a group of hospitals seeking compensation for miscalculated payments going back to the late 1980s.
WellPoint Inc., the second largest health insurer in the country, today reported fourth quarter and 2012 earnings that beat analysts' estimates, driven primarily by medical expenditures that were lower than the company expected.