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Medicare

Latest Headlines

Latest Headlines

Supreme Court decision lets Humana sue Glaxo over drug

Humana can pursue a lawsuit against GlaxoSmithKline after the U.S. Supreme Court refused to hear the pharmaceutical giant's appeal of a lower court decision that let the insurer's suit...

Hospitals defend observation-status policies as criticism grows

The president of the Pennsylvania Medical Society blamed Medicare's recovery auditor (RAC) program and government mandates for Medicare coverage for hospitals' growing reliance on holding patients for observation rather than admitting them.

Patient education factors into decline of MRI utilization

Today's patients are more educated about the appropriateness of advanced imaging examinations, according to research published this month in the Journal of the American College of Radiology .

Research questions rationale for multiple procedure payment reduction

Any new efficiencies in physician interpretation and diagnosis gained when different providers interpret different medical scans performed on the same patient are minimal and vary by procedure, according to an article published online in the  Journal of the American College of Radiology .

Obama's 2014 budget request: Good and bad news for providers

President Obama's fiscal 2014 budget request for the U.S. Department of Health & Human Services boasts hundreds of billions in savings--but at the cost of some provider payments.

Moody's: Medicare sequester cuts to hit nonprofits hard

Sequestration-related cuts are posing a bottom-line threat to nonprofit hospitals, as indicated by a recent downbeat report from Moody's Investors Service.

2% Medicare cuts kick in today

Unable to take advantage of a one-month delay to stave off Medicare sequestration cuts, providers will see an automatic 2 percent reduction in Medicare reimbursement begin today. The White House estimates the cuts could cost providers $11 billion in Medicare payments a year .

Hospitals bracing for sequester-related cuts

The 2 percent pending cuts to Medicare payments as a result of the budget sequestration are expected to affect the bottom line of some hospitals to the tune of millions of dollars a year.

Hospitals, lawmakers reaffirm calls for RAC reform

Newly proposed bipartisan legislation would modify Medicare recovery auditors (RACs), in part by placing a hard cap on the number of documents they can request from hospitals.

Medicare reduces readmission penalties for most hospitals

After making a second recalculation, the Medicare program has reduced financial penalties to more than 1,200 hospitals with excessive readmissions.