Medicare & Medicaid
For 2018, CMS updated its measures in adjusting three Part C measures for Medicare Advantage only and MA-prescription drug plans.
Payment adjustments are expected to range from 0.4 to 2.6 percent of providers' Part B expenditures, report says.
Hospital Compare initiative has become a "problem child" for CMS, but discussion over methods shouldn't be allowed to stall program repeatedly, expert says.
Researchers say fewer black patients received cancer surgery at high-volume hospitals.
In addition to the lawsuit, complaints about Medicaid from hospitals, doctors and patients have spiked in Iowa over coverage and payments.
Former Benchmark Healthcare chief pocketed money while residents did not receive medication, food and needed dietary supplements, DOJ said.
Group's general counsel says OIG's understanding and application of Medicare rules are flawed.
Medicare advisory commission recommends voluntary physician participation in a program with measures more similar to APMs.
Reimbursement to physicians is linked to the health outcomes of their patients.
The program has allowed hospitals of varying size to realize meaningful operating cash flow, Moody's says.