Policy and Legislation
Richard S. Foster is retiring this week after 18 years as the chief actuary for the Centers for Medicare and Medicaid Services. He recently sat down to discuss the highs and lows of his career with Mary Agnes Carey of Kaiser Health News.
The Miami Beach Community Health Center (MBCHC) is suing its former accountants for failing to reveal a $6.8 million "theft" by its former chief executive officer.
A bipartisan bill introduced by representatives D. Phillip Roe, MD, (R-Tenn.) and Allyson Schwartz (D-Pa.) and with the support of numerous provider groups, seeks for a second time to repeal the Independent Payment Advisory Board (IPAB).
On Wednesday, New York Attorney General Eric T. Schneiderman announced that his office recovered over $335 million for the state in 2012 that had been improperly claimed through fraud or abuse in the Medicaid system.
A study published this week in the Journal of the American Medical Association shows that having Quality Improvement Organizations (QIOs) to improve care transitions decreased hospitalizations and re-hospitalizations of Medicare beneficiaries by nearly 6 percent over two years.
The U.S. Supreme Court solidified the federal government's authority to limit Medicare reimbursement appeals with a unanimous ruling to deny the claims of a group of hospitals seeking compensation for miscalculated payments going back to the late 1980s.
A battle is brewing between Mississippi Republican Gov. Phil Bryant and Insurance Commissioner Mike Chaney over an online health insurance marketplace that will allow an estimated 250,000 Mississippi residents to shop for coverage and find out if they qualify for government subsidies or Medicaid.
Last week the Department of Justice (DOJ) announced that it will not challenge a proposal by the Greater New York Hospital Association (GNYHA) to offer a gainsharing program to its member hospitals in the state.
The HIPAA Privacy and Security Omnibus final rule should bring some long-awaited clarification and certainty to marketing, fundraising and other aspects of safeguarding and using health information.
Every once in a while, someone writes an article or column blaming doctors for rising healthcare costs. Timothy Norbeck, a 46-year veteran of championing physicians, has seen such finger pointing many times, but a recent article teed him off enough to write a white paper examining the drivers of healthcare costs.