FinanceWe Showed How Easy It Is to Commit Health Care Fraud. Now Senators Want to Close the Loophole.
The bipartisan proposal comes in response to a ProPublica story that showed how a personal trainer posed as a doctor...
StrategyAppeals Court Shuts Down Medicaid Work Requirements
The appellate court ruled that HHS Secretary Alex Azar's approval of a Section 1115 waiver for Arkansas was "arbitrary and...
FinanceDon't Leave Money for New Technologies on the Table
CMS has raised the payment level for new technology in 2020. Now, here's what you need to know.
StrategyHospital Groups Rap Trump Budget Proposal
The $4.8 trillion proposed budget is not expected to get much traction in Congress. However, critics say it demonstrates the...
FinanceMedicaid Block Grant Savings Varies from State to State
An new analysis estimates what savings states will need to generate in aggregate and per capita Medicaid models.
StrategyCMS Proposes 0.93% Pay Rate Hike for MA Plans in 2021
The rate hike is part of a broader package of proposed "refinements" for Medicare Advantage and the Part D Quality...
StrategyPresident Trump Defends Price Transparency Rule, Attacks Medicare for All at State of the Union
President Donald Trump also called on Congress to deliver a bipartisan plan to lower prescription drug prices.
StrategyWhat Healthcare Policies Will President Trump Highlight at the State of the Union?
President Trump is likely to focus his message on several healthcare policy objectives as he aims for reelection in November.
StrategyStakeholders Pan CMS' Health Adult Opportunity
Both provider and payer associations criticized the Trump administration's Medicaid block grant announcement.
StrategyThe Devil in the Details: Examining CMS' Medicaid Block Grant Proposal
Stakeholders raise concerns that guidance unveiled by CMS on Medicaid block grants could lead to drastic cuts in the safety...
StrategyCMS Releases Medicaid Block Grant Plan: Healthy Adult Opportunity
CMS' announcement comes more than three months after Tennessee unveiled its block grant program for TennCare, the state's Medicaid plan....
StrategyVerma Scolds 'Bad Actors' Opposing Interoperability
The CMS administrator suggested that some healthcare electronic records vendors are acting to protect "short-term profits."