Medicare & Medicaid
In 2010, avoidable hospitalizations for dually-eligible beneficiaries in long-term care was 227 per 1,000 beneficiaries; 2015 rate was 157 per 1,000.
Agency intends to modify 2017 requirements for reporting eCQM data under the Inpatient Quality Reporting and EHR incentive programs for hospitals.
Data is key in partnering with commercial insurers to support primary care practices, reduce clinician burden.
Doctor is seeking class-action status for a lawsuit against Molina Healthcare, saying the insurer owes thousands for Medi-Cal patient care.
Critical access hospitals and acute care hospitals will receive all-payer global budgets for a fixed amount of money that is set in advance and funded by all participating insurers.
Innate Immunotherapeutics sold nearly $1 million in discounted shares to the potential U.S. Department of Health and Human Services chief.
Aria Sabit lied about procedures performed, fraudulently billed government programs, performed unnecessary surgeries and implants, authorities say.
CMS says it wants the model to be a pathway for ACOs to enter two-sided risk and then move on to higher risk in a Track 2 or 3 model.
Leaders share what is still needed to provide the best care while safeguarding the health of the sector.
Elements of the law remain widely popular, including coverage for pre-existing conditions, benefits caps, young adults on parents' plan until age 26.