Medicare & Medicaid
Since 2012, over 400 Medicare ACOs generated more than $1.29 billion in savings with 125 qualifying for shared savings payments.
Hospitals and former parent company admitted to knowingly and grossly exceeding 60-day repayment rule for Medicaid overpayments.
New research suggests a path forward that could save money while also improving patients' health.
Top among them was NewYork-Presbyterian Hospital, which received $16 million.
In total, 2,022 hospitals shared in the government payout, which settled 346,000 claims for reimbursement for treating Medicare patients admitted on or before Oct. 1, 2013.
The federal agency is considering fines and other sanctions for providers who engage in this.
Providers will now be held to using the correct degree of specificity in their coded claims to Medicare and Medicaid.
Overall, CMS said the amount it spent on drugs in 2014 grew by 17 percent year over year, driven by rising pharmaceutical costs.
CMS gives MA plans flexibility in benefit design for enrollees with certain chronic conditions.
Fewer than one-fifth of U.S. hospitals indicate they regularly review the patient-reported measures to guide medical care, according to a new survey from Health Catalyst.