Tag: Medicare
Medicare buy-in at 50 leads way for Democratic public-option proposals
Democrats in Congress have revived the first of a slate of ideas to expand public coverage with a Medicare buy-in at age 50 bill...
Supreme Court gears up to review Medicare DSH formula
HHS and hospitals will argue before the U.S. Supreme Court this week over whether HHS violated the law when it recalculated the Medicare DSH...
Improper Medicare payments hit lowest level in nearly a decade
More targeted enforcement activity and reduced regulatory burden led to a nearly $ 5 billion drop in improper Medicare payments in fiscal 2018.
Modern...
Anthem’s lower costs, growing Medicare rolls boost Q3 profit
National health insurer Anthem continued its streak of higher quarterly profit in the third quarter of 2018 as it grew Medicare Advantage membership, raised...
CMS underestimated Medicare ACOs’ savings
The Medicare Shared Savings program generated $ 1.84 billion in savings over a three-year period, which is nearly twice the savings CMS data...
CMS to implement indication-based drug coverage for Medicare Part D plans
Starting in 2020, Medicare Part D plans can tweak their formularies so that different drugs can be covered for a defined set of indications,...
Court ruling gives Prime hospitals the right to sue Humana over...
Precedent-setting case will affect providers nationwide when they feel insurers have breached their contracts, according to attorney.
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Healthcare CEO, physicians indicted in $200 million Medicare fraud involving million...
Alleged scheme preyed on Medicare beneficiaries, some of whom were addicted to opioids, creating shell companies and getting millions in kickbacks, DOJ says.
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Accountable Care Organizations that take on downside risk save Medicare money,...
Recent survey shows 71 percent of ACOs would likely leave Medicare Shared Savings Program if required to move to a two-sided model.
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CMS opens Medicare evidence-based diabetes prevention services model to community healthcare...
Providers that earn CDC-certification for type 2 diabetes prevention can earn payments for treating patients that might not otherwise come in for screening.
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