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Medicare & Medicaid

By Susan Morse | 05:50 pm | January 21, 2016
CenterLight admitted to improperly billing Medicaid for 1,241 members.
By Beth Jones Sanborn | 05:43 pm | January 21, 2016
Patricia Akamnonu kept a working Medicare group provider number for her agency for the purposes of submitting Medicare claims for home health services that either weren't needed or were never actually performed, authorities said.
By Mike Miliard | 10:32 am | January 20, 2016
One week after Andy Slavitt said meaningful use would be replaced soon, the acting Centers for Medicare and Medicaid Services administrator and national coordinator Karen DeSalvo made it clear that the changes would take time and that providers must still follow the current program.
By Kaiser Health News | 09:34 am | January 18, 2016
For people whose income changes shift them above or below the Medicaid threshold during the year, navigating their health insurance coverage can be confusing. Ditto for lower income people who live in states that may expand Medicaid this year.
By Kaiser Health News | 11:40 am | January 14, 2016
With full federal funding for expanding Medicaid set to expire at the end this year, President Barack Obama is proposing to indefinitely extend the health law provision for any of the 19 states that have not yet adopted the enhanced eligibility.
By Susan Morse | 04:17 pm | January 13, 2016
Louisiana has adopted Medicaid expansion, making it the 32nd state, including the District of Columbia, to take on the Affordable Care Act initiative.
By Henry Powderly | 09:44 am | January 13, 2016
Acting Centers for Medicare and Medicaid Services Administrator Andy Slavitt on Tuesday shocked many in healthcare when he laid out an aggressive timeline to replace the meaningful use program, a electronic health records mandate and incentive program that healthcare providers put millions into.
By Susan Morse | 02:27 pm | January 12, 2016
Fifty-five hospitals have filed a lawsuit against the Secretary of Health and Human Services over Medicare's 0.2 percent cut in payment for inpatient stays that went into effect January 1 under the two-midnight rule, according to lawyers at Foley & Lardner in Washington, D.C., who filed the lawsuit on Friday.
By Susan Morse | 07:05 pm | January 11, 2016
Dartmouth-Hitchcock Medical Center was surprisingly not among the list of 21 health systems joining the Next Generation Accountable Care Organization model released by the Centers for Medicare and Medicaid Services on Monday.
By Beth Jones Sanborn | 06:20 pm | January 11, 2016
Brown & Toland participated in Pioneer from it's inception in 2012. But the relationship is no more.