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Medicare & Medicaid

By Jeff Lagasse | 01:00 pm | March 07, 2019
The move is designed to help the facilities struggling with a declining number of patients and a shifting payer mix.
By Susan Morse | 11:11 am | March 07, 2019
The agency seeks information on removal of regulatory, operational and financial barriers, but will insurers step into the interstate market?
By Susan Morse | 04:56 pm | March 06, 2019
Gag order prevents Title X providers from telling pregnant patients how and where they can access abortion safely and legally, lawsuit says.
By Susan Morse | 04:44 pm | March 05, 2019
The changes are happening while the Administration is considering other efforts, such as amending the safe harbor rule on rebates.
By Jeff Lagasse | 04:04 pm | March 05, 2019
A DBT-inclusive bundled price was associated with significantly reduced recall rates, 13 percent versus 9.4 percent.
By Susan Morse | 03:48 pm | March 04, 2019
There's pent-up demand to get into the model that qualifies as an advanced APM under MACRA, but first providers want to see if other participants are staying in.
By Jeff Lagasse | 03:37 pm | March 04, 2019
For a number of approaches, the paper examines where the plan would operate and who would be eligible.
By Susan Morse | 05:12 pm | February 28, 2019
The number of vulnerable patients, social risk factors, and other issues beyond a provider's control, lead to misleading ratings, Essential Hospitals says.
By Susan Morse | 03:20 pm | February 28, 2019
Government has a history of slashing provider payments for government health programs; Medicare and Medicaid reimburse providers less than the cost of delivering care, AHA says.
By Susan Morse | 05:28 pm | February 26, 2019
End rebates for both Medicare and commercial plans, and they will lower list prices, pharmaceutical executives say.