Medicare & Medicaid

Dr. Aria O. Sabit profited by convincing patients to undergo spinal fusion surgeries with instrumentation that he never used.

The Urban Institute says expansion of Medicaid coverage to adults with incomes over the poverty line was key to reducing the uninsured rate among 50- to 64-year-olds from nearly 12 to 8 percent in 2014.

Since Medicaid expansion coverage began last year, emergency room visits by the uninsured dropped by 22 percent this year, compared to 17 percent in 2014.

States that expand get billions of additional federal dollars, but many Republican lawmakers are loathe to say yes to the Obama administration.

Thirty-six percent of ophthalmologists ordered pre-operative tests for more than 75 percent of their patients, according to the study, which was published last month in the New England Journal of Medicine.

Sylvia Burwell tells Rick Scott that Florida's request for federal funding "falls short of the key principles HHS will use in considering proposals regarding uncompensated care pool programs."

Executive instructed office staff to rely on false anesthesia records when preparing claims for reimbursement sent to Medicare, Medicaid and the insurance companies.

Medicaid expansion, and the rise of insured populations seeking care at the for-profit company's 200 hospitals, pads balance sheet for the Tennessee-based healthcare provider.

The money, set aside under the Affordable Care Act, will help establish centers in 33 states and two U.S. territories, increasing access to primary healthcare services for nearly 650,000 people in communities that need them most.

The CMS Actuary said the program expansion would give MSSP participants the option of joining a Pioneer model ACO instead of graduating to a Track 2 model, which gives them more flexibility and a chance for deep savings if hospitals show strong quality.