FinanceMedicare Advantage Dual Eligibles Have Fewer ER Visits Than Those Under FFS
Dual eligible Medicare Advantage beneficiaries had 42.1% less emergency room visits than their fee-for-service counterparts.
FinanceIBD Rx Tied to Pharma Payments to Docs
Among over 3,000 GI physicians, 99% received at least one payment.
How Obamacare, Medicare And 'Medicare For All' Muddy The Campaign Trail
As the debate continues, one point should be clear: Medicare for All would not look like the ACA or like...
Keep Bonuses Coming for New Medicare Models, Senators Told
Extending them for another 3 years isn't enough, physcian associations tell a Senate committee.
Short-Staffed Nursing Homes See Drop In Medicare Ratings
Most downgraded homes had payroll records that showed no RN hours at all for four days or more. The remainder...
FinanceCBO Balks on Cost Estimate for Single Payer System
A new report says transitioning the nation's $3.5 trillion healthcare system to a single-payer system 'could be complicated, challenging, and...
Former HMA CEO to Pay $3.46M to Resolve False Billing, Kickback Allegations
Federal prosecutors claim that, under Newsome's guidance, HMA pressured emergency department physicians to admit patients without regard to medical necessity.
A Big Hearing For 'Medicare-For-All' — In A Small Room
The hearing was a swap House Speaker Nancy Pelosi made to left-leaning members of her caucus when she courted them...
Amgen, Astellas to Pay $124.7M to Settle Kickback Allegations
The two companies allegedly used independent foundations to pay Medicare beneficiaries' copays for their own products, an illegal inducement under...
FinanceHospitals Chafe Under Medicare's New Payment Rule For Off-Campus Clinics
With its new policy, Medicare is saying that an off-campus office is an off-campus office, regardless of whether it's owned...
FinanceMedicare Trust Fund to Fall Short After 2026, as Costs Continue to Rise
Trump administration health officials cited the annual report as evidence the government should avoid 'Medicare-for-All.'
InnovationCMS Expands Recognition of Technology-Enabled Services
The expansion of technology benefits is key to cost reduction and the clinical management of patient cohorts using clinical teams.