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...
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.
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 .
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 .
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.
Sequestration-related cuts are posing a bottom-line threat to nonprofit hospitals, as indicated by a recent downbeat report from Moody's Investors Service.
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 .
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.
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.
After making a second recalculation, the Medicare program has reduced financial penalties to more than 1,200 hospitals with excessive readmissions.