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Medicare & Medicaid

By Beth Jones Sanborn | 05:45 pm | April 23, 2018
Letter from numerous groups to Seema Verma called out policy changes, slow updates to QPP website and "lack of timely notification" as reasons to shorten the 2018 reporting period.
By Jeff Lagasse | 01:43 pm | April 19, 2018
Doctors have balked at the increasing burden of implementing metrics, which cost roughly $15.4 billion annually to meet.
By Susan Morse | 05:27 pm | April 18, 2018
The agency wants to overturn the court ruling against the agency's final rule that includes private insurance and Medicare reimbursement in setting payment limits.
By Susan Morse | 12:46 pm | April 18, 2018
America's Health Insurance Plans is among organizations asking Azar, HHS to stop the routing of dialysis patients who are eligible for Medicare, Medicaid to individual coverage carrying higher reimbursement rates.
By Beth Jones Sanborn | 10:53 am | April 17, 2018
Despite favorable conditions, hospitals must shore up efficiencies, distinguish themselves from competitors, and learn to 'make it on Medicare payments,' experts say.
By Beth Jones Sanborn | 01:30 pm | April 13, 2018
Government alleged Banner Health hospitals intentionally overcharged Medicare patients, rendered inpatient care that could have been handled on outpatient basis.
By Beth Jones Sanborn | 04:15 pm | April 12, 2018
House Speaker was a long-running opponent to the Affordable Care Act and his departure raises questions about how Republicans will approach healthcare moving forward.
By Jeff Lagasse | 11:06 am | April 12, 2018
The CBO's report follows similar projections that the Centers for Medicare and Medicaid Services laid out earlier this year.
By Susan Morse | 06:00 pm | April 10, 2018
In commercial contracts Caremark kept the spread between the price it negotiated with the pharmacies and what it charged its PBM customers, lawsuit claims.
By Susan Morse | 02:56 pm | April 09, 2018
Adults are four times as likely, and children at least two-times more likely, to receive certain preventative care services than uninsured, according to a report by America's Health Insurance Plans.