Latest Headlines

Latest Headlines

Michigan joins Medicare-Medicaid integration trend

The Centers for Medicare & Medicaid Services has partnered with Michigan to test efforts to improve care and contain costs for Medicare-Medicaid enrollees.

Ambulance fraud keeps gouging programs

Ground ambulance services can pose a serious fraud threat as evidenced by recent cases and extended governmental moratoria on new ambulance provider applications in fraud zones. 

Same-sex married couples now qualify for Medicare

For the first time ever, same-sex married couples can qualify for Medicare, the U.S. Department of Health and Human Services announced Thursday.

Docs who drop insurance take on big business risks

Like many physicians who switched to cash practice, brothers Jonathan Izbicki, D.O. and Harry Izbicki, D.O., experience a rosy view of life without insurance hassles,  U.S. News & World Report  reported.

OIG: Most hospital-based clinics overcharge Medicare

Hospitals erroneously bill Medicare millions of dollars a year because they incorrectly classify the patients they treat,  according to a report issued late last week by the U.S. Department of Health and Human Services' Office of the Inspector General. 

LA hospital may have to repay CMS for CEO's misdeeds

The CEO of Madison Parish Hospital in Tallulah, La., is in prison for healthcare fraud, but the facility he ran may have to foot the bill for his misdeeds, the  Monroe   News-Star  reported.

OIG: Beef up terminated provider data

The Centers for Medicare & Medicaid Services should improve its system for sharing data on providers whose participation in federal healthcare programs has been terminated, the Office of Inspector General announced.

RACs denied Medicare providers $2.1B in claims in fiscal 2012

Medicare Recovery Audit Contractors denied Medicare providers more than $2 billion in payments in fiscal year 2012, according to a report from the Centers for Medicare & Medicaid Services to Congress.

Dual-eligible programs need stronger quality-of-life measures

Test care models that coordinate benefits for dual-eligibles are lacking in quality-of-life measures, which are essential to identifying effective innovations, concludes a new policy brief from The Commonwealth Fund.

Medical equipment fraud schemes worth watching

A federal jury in Los Angeles convicted a southern California man for his role in a $1.5 million durable medical equipment (DME)-related fraud scheme, the Department of Justice announced Monday.