Medicare
publication date
Finance
Essential Hospitals Delivered One-Fifth of Charity Care Amid Cuts
America's Essential Hospitals found that its member health systems handled $3.5 billion in charity care in 2016 as the federal government moved to cut DSH payments.
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Strategy
Medicare's big challenges threaten seniors and taxpayers alike
Medicare is in trouble. Again. The Medicare Trustees report the program’s Hospital Insurance trust fund is spending billions more than it takes in. In just eight years, they estimate, the fund will...
Strategy
5 Things To Know About Medicaid Work Requirements
The Trump administration’s decision in January to give states the power to impose work requirements on Medicaid enrollees faces a federal court hearing Friday.
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Clinical Care
CMS Delays Hospital Star Ratings Update, Again
Policymakers say they need more time to analyze the impact of the changes on hospitals. However, some related metrics will be updated by the end of July.
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Finance
Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home Patients
“Oh my God, we dropped her!” Sandra Snipes said she heard the nursing home aides yell as she fell to the floor. She landed on her right side where her hip had recently been replaced. She cried out...
Clinical Care
Medicare's Mandatory Bundled Payments Prove Their Worth
Hospitals that get bundled payments for joint replacements either voluntarily or through Medicare's mandatory programs, vary by size and volume, but not in spending or quality.
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Finance
No, Medicare won't go broke in 2026. Yes, it will cost a lot more money
It was hard to miss the headlines coming from yesterday’s Medicare Trustees report: "Medicare to go broke three years earlier than expected, trustees say"; "Government Says Medicare won't be able...
Strategy
Allegiance Health Pays $1.7M in False Claims Settlement
Federal prosecutors say the Shreveport, LA-based, post-acute care hospital chain billed Medicare for providing 'inappropriate or worthless services.'
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Clinical Care
3 Ways to Overcome Chronic Care Management Adoption Barriers
While most physicians surveyed recently saw a need for chronic care management services, barriers to adoption include patient skepticism, doctor unfamiliarity with Medicare reimbursement, and...
Finance
Medicare Faces Insolvency in 2026, Three Years Earlier than Last Year's Projection
Medicare Trustees in their annual report project that total program costs will grow from approximately 3.7% of GDP in 2017 to 5.8% of GDP by 2038.
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Strategy
Five New MedPAC Members Appointed
Commission, regularly ignored by Congress, recently suggested eliminating and replacing the controversial MIPS physician evaluation program.
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Strategy
Another Doc Gets Prison Time in NJ Bribery Scheme
The investigation of now-defunct Biodiagnostic Laboratory Services has resulted in convictions for 38 physicians, in what is believed to be the largest number of medical professionals prosecuted in...