Medicare & Medicaid
After years of losing money, River's Edge Hospital in St. Peter, Minnesota posted a profitable 2015 and is considering expanding the facility, an uncommon story for a rural, critical-access hospital.
The Centers for Medicare and Medicaid Services has proposed new rules it expects will expand access to analysis and data that helps employers and providers make more informed decisions about care delivery.
The Centers for Medicare and Medicaid Services on Thursday said it will begin taking regional differences into account when measuring the performance of accountable care organizations in the Medicare Shared Savings program, one of several changes announced to the benchmark guidelines in the program.
Only 51 home health agency received the lowest rating, while over 2,000 received the top ranking in the Centers for Medicare and Medicaid Services new star ratings for home health agencies.
Hospitals in Medicaid expansion states fare better financially than those in states that have not adopted the Affordable Care Act initiative, according to an attorney who formerly directed the Medicaid program for the Centers for Medicare and Medicaid Services.
With the final January 31 deadline for open enrollment looming, close to 9 million consumers have signed up for healthcare coverage through the marketplace, according to the Centers for Medicare and Medicaid Services.
Racial and ethnic minority populations are more likely than their white counterparts to be readmitted within 30 days of discharge for certain chronic conditions.
Donald Trump is calling for a change in the way Medicare deals with big pharma prices, a revision long targeted by Democrats.
Deficiencies found in an audit of Cigna-HealthSpring operations has prompted the Centers for Medicare and Medicaid Services to temporarily bar Cigna from enrolling new customers to its Medicare Advantage and stand-alone prescription drug plans, and from marketing efforts, according to CMS.
The Centers for Medicare and Medicaid Services on Friday said a demonstration of new incentives to align dual-eligible spending shows a 6 percent savings, or $21.6 million, in Medicare spending.