Vulnerabilities in electronic health records systems are creating opportunities for fraud among healthcare providers and contractors working to achieve Meaningful Use attestation, says the Office of Inspector General.
Insurers say they have to design their provider networks for the new public exchanges with cost control in mind. Critics say excluded hospitals in rural and economically disadvantaged areas of the country are at risk of financial ruin. CMS will try to have the final say...
The American Medical Association is backing an effort in Congress to push Medicare toward a value-based reimbursement system, but doctors are demanding a seat at the table when rules are set for transparency and assessing providers' performance.
Seeking to avert a cut in Medicare's physician payment rate set for April 1, lawmakers in the House and Senate have embraced a pact that would replace the sustainable growth rate formula with a payment system that includes a small...
Federal regulators overseeing public health insurance exchanges are taking a fresh look at adequacy standards for so-called narrow networks, which insurers say are an essential tool for controlling healthcare costs.
The new public health insurance exchanges are a good deal when compared to plans that private employers offer, PwC research shows. But don't expect employers to push workers toward the public exchanges yet.
Providers are pleased that CMS is delaying enforcement of new guidelines governing Medicare reimbursements for short-term hospital stays, but they insist the new rule is flawed and say they will continue to oppose it.