Reimbursement
Backlogs in processing Medicaid benefits have left thousands of beneficiaries without care, according to the Kansas Health Institute News Service.
The Centers for Medicare and Medicaid Services on Thursday said it will test a new payment model that would align reimbursement rates for comprehensive assessments done at skilled nursing facilities with rates already paid to hospitals.
An $11.8 million federal diabetes prevention model tested at the YMCA saved Medicare about $2,650 for each person enrolled, enough to cover the cost of the program, according to an announcement Wednesday by Health and Human Services Secretary Sylvia M. Burwell.
Republican committee leaders in the Senate and House are taking Health and Human Services Secretary Sylvia Burwell and Centers for Medicare and Medicaid Services acting Administrator Andy Slavitt to task for 316 security incidents on HealthCare.gov.
Montana's new Medicaid expansion just got its first progress report, and it is exceeding expectations.
The 31 states and District of Columbia that have expanded Medicaid are saving millions -- and in some cases, tens of millions -- compared to states that have not adopted the federal program, according to a report released Tuesday by the Robert Wood Johnson Foundation.
Errors in insurance claims are costing the healthcare industry billions in wasteful spending, and both the payers and the providers are at fault, experts say.
The Maine Bureau of Insurance is closely monitoring Community Health Options, as the nation's only profitable co-op under the Affordable Care Act in 2014 posted a net loss of $74 million for 2015 and 2016 this month, according to information on the maine.gov website.
The percentage of drugs requiring coinsurance has climbed steadily, increasing from 35 percent in 2014 to 45 percent last year. That percentage is approaching two-thirds of all covered drugs.
The Supreme Court has sided with Liberty Mutual Insurance and against the state of Vermont in a decision that could have implications for insurers nationwide.