Reimbursement
This week, CMS released a proposed rule that would make significant revisions to the Medicare Advantage and Part D prescription drug program regulations. The agency estimates that the rule changes would reduce Medicare spending by $1.3 billion between 2015 and 2019.
Halfway through the first enrollment period for health insurance exchanges, the majority of Americans potentially eligible for coverage have not yet visited one of the marketplaces.
New York's health insurance exchange is meeting enrollment projections and attracting a diverse mix of the state's residents, while trying hard to troubleshoot any website problems or consumer complaints.
Medical costs in commercial plans slowed between August 2012 and August 2013, according to the S&P Healthcare Claims Indices. Spending on inpatient, outpatient, and professional fees and pharmaceuticals all decelerated.
The federal government has ended the lead contract for HealthCare.gov with CGI Federal and secured a new one with Accenture.
Hospitals in the state of Maine are bracing for an uncertain future in 2014. Maine is one of 23 states not planning on expanding Medicaid this year.
Trying to help thousands of Maryland residents who still can't enroll online, lawmakers are hoping to use the state's high risk pool plan as an emergency, short-term coverage option, while the insurance exchange's problems are fixed.
Maryland officials have reached what analysts say is an unprecedented deal to limit medical spending and abandon decades of expensively paying hospitals for each extra procedure they perform.
In the latest Medicaid waiver, Wisconsin Governor Scott Walker secured a number of cost-sharing provisions and a transfer of thousands of beneficiaries to Healthcare.gov, setting the stage for other Republican governors to find an acceptable option.
Maryland officials have reached what analysts say is an unprecedented deal to limit medical spending and abandon decades of expensively paying hospitals for each extra procedure they perform. If the plan works, Maryland hospitals will be financially rewarded for keeping people out of the hospital.