Medicare
publication date
Finance
L.A. Care CEO Dings Medicare for All, Defends Public Option
John Baackes prefers an approach to healthcare reform that builds on the Affordable Care Act.
Clinical Care
What's Really Driving 30-day Readmission Declines?
A Harvard study offers an alternative explanation for declines in hospital readmissions.
Texas Healthcare Execs Guilty in $150M Hospice Scam
The schemers falsely told patients they had only six months to live in a ploy to collect hospice payments.
Finance
Jefferson Health CEO Gives Insight on How to Operate As Medicare for All Looms
Dr. Stephen Klasko says health systems are 'about to go through a Category 5 disruption'
Clinical Care
Doc Groups Laud CMS' E/M Reforms, Red Tape Reductions
The final rule updates the longstanding E/M documentation and coding framework used by clinicians to bill Medicare.
Finance
53% of Medicare Beneficiaries Have 'Serious Problem' Paying Medical Bills
Paying for prescription drugs represented the most serious financial problem for Medicare beneficiaries in 2018.
Finance
CMS Finalizes 340B, Site-Neutral Cuts for 2020
Medicare's hospital outpatient prospective payment system rates will increase by a net 2.6% in 2020.
Finance
CMS Value-based Purchasing Program IDs $1.9B for Hospitals in 2020
More than 1,500 hospitals will get higher Medicare payments from the program in FY 2020.
Foundations Pay $6M to Settle Allegations of Enabling Medicare Kickbacks
Chronic Disease Fund, Inc., and Patient Access Network Foundation allegedly worked with drug makers to funnel money to Medicare patients...
Clinical Care
CMS Adopts 5-Part Strategy to Address Medicare Fraud, Waste, and Abuse
CMS Administrator Seema Verma vows to take 'aggressive actions.'
Clinical Care
Some Seniors Readmitted with the Same Infections They Took Home
As many as 5% of patients leaving the hospital with an infection have a 30-day readmission for that preexisting infection.
Clinical Care
Medicare ACOs With Cardiologists Save Money
ACOs with cardiologists may see lower spending for SNFs, ED visits, evaluation and management services and procedural care.