Medicare
publication date
Finance
Long-term Care Hospital Reimbursement Loophole Challenged
A new working paper recommends that long-term care hospitals lose their special reimbursement schedules under Medicare and instead get paid...
Finance
New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients' Choices
Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to...
Finance
Double the Savings? ACO Group Questions CMS Analysis of MSSP Performance
Over three years, Medicare Shared Savings Program ACOs saved a gross $1.8 billion, nearly twice as much as the amount...
Clinical Care
Houston Psychiatrist Gets 12 Years in Prison for $155M Medicare Fraud
Sixteen people, including top hospital executives, have been convicted for their roles in the long-running fraud scheme at Riverside General...
Clinical Care
Bundled Payments Initiative Shows Progress
Two first-year reviews show patient discharges to institutional post-acute care are lower, and hospitals don't appear to be gaming performance...
Clinical Care
CMS to Allow Indication-Based Formulary Design in Medicare
In 2020, plans will have the option to exclude certain drugs for certain indications.