Medicare
publication date
Strategy
Which House Democrats Will Lead Healthcare Policy in New Congress?
As Democrats take control of the House, they will be voting on who will be their Speaker and who will...
Strategy
CMS to Roll Out Mandatory Cancer Payment Model
In a sharp departure from Trump Administration policy, HHS Secretary Alex Azar pushes mandatory payment models.
Finance
Inpatient or Outpatient? Medicare Rule Sows Knee Replacement Confusion
Many hospitals are instructing surgeons to schedule all Medicare total knee arthroplasties as outpatient procedures.
Quick: What's The Difference Between Medicare-For-All and Single-Payer?
Most voters approached for this article declined to be interviewed, saying they didn't understand the issue.
Clinical Care
CMS Home Health Final Rule Pushes Modernization and Value-Based Care
The new rules, which focus on the 2019 and 2020 calendar years, update payment regulations, support expansion of remote patient...
Finance
Anthem Bests Key Q3 Metrics, Including 29% Net Income Growth
The Indianapolis-based insurer acheived nearly $1 billion in net income during Q3, along with an operating revenue of $23 billion.
Finance
WellCare Revenues Rise Year-Over-Year, EPS Falls
WellCare's total revenue exceeded $5 billion in Q3, and though its EPS dropped, the insurer improved its year-end financial outlook.
Trump HRA, Drug Pricing Proposals Confound Expectations
A president who rails against the ACA and champions free markets now calls for expanding Obamacare's marketplace coverage and government...
Booming Economy Helps Flatten Medicaid Enrollment And Limit Costs, States Report
The falling unemployment rate is the main reason for the drop in Medicaid enrollment, but some states have reduced their...
Vascular Access Centers to Pay $3.8M to Resolve False Claims Act, Anti-Kickback Allegations
The provider allegedly billed Medicare for non-reimbursable procedures, and offered improper remuneration to physician investors and medical directors.
States Explore Paths To Pay Their Share For Medicaid Expansion — Using Political GPS
Four more states will give voters in November's elections the opportunity to resolve the dispute over Medicaid expansion.
Innovation
Alternative Payment Model Adoption Increases
The Health Care Payment Learning & Action Network study shows that the percentage of healthcare payments tied to APMs have...