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Medicare

Latest Headlines

Latest Headlines

Highest paid surgeons bill Medicare for more services

Surgeons who are the highest paid by Medicare are billing for more services per beneficiary rather than treating more patients, according to a study published in  Surgery.

Industry leaders weigh in on the state of the ACA

Some of the top healthcare policy experts in the country tackled the current state of the industry and the impact of the Affordable Care Act--both positive and negative--in a series of viewpoints published by the  Journal of the American Medical Association.

Case study: How Oak Street Health keeps its elderly patients happy and healthy

Keeping dual-eligible seniors happy and healthy is a tough nut to crack. But Chicago-based Oak Street Health has done it in a value-based care model, according to a recent article in  NEJM Catalyst  by Griffin Myers, M.D., Geoff Price and Mike Pykosz, founders and part owners of the practice.

CMS issues final rule on overpayments

The Centers for Medicare & Medicaid Services has issued a final rule regarding the legal requirements providers most follow if they are overpaid.

Medicaid expansion would cut healthcare disparities in the South, report says

Southerners are more likely to be uninsured, have chronic illnesses and experience worse health outcomes than people in other areas of the country, and expanding Medicaid eligibility in Southern states would go a long way toward reducing these disparities, according to a brief from the Kaiser Family Foundation.

Doc groups support cost-saving telehealth proposal

Three Medicaid reimbursement policy changes for telehealth and remote patient monitoring would save the federal government $1.8 billion over the next 10 years, according to a new report by consultancy Avalere Health. 

Legislators take aim at Stark law in light of value-based payment changes

Legislators are asking industry stakeholders for input regarding potential changes to. Stark law in light of the ongoing transition towards value-based payments, according to a report by Bloomberg BNA.

Safety-net hospitals suffer in all three big Medicare incentive programs

Hospitals that treated uninsured patients and were more of the provider safety net were significantly more likely to receive financial penalties for patient readmissions than hospitals that treat wealthier patients, a new study finds.

Former CEO claims he was fired for calling out improper payments

A prominent physician and former CEO of an Oregon health system says he was fired by the governing board last year for suggesting the provider self-report $10 million in improper Medicare claims, according to  The Oregonian,

Large bulk of U.S. healthcare is taxpayer-funded

Not only is the United States the most expensive country in the world to obtain healthcare services, the U.S. government is picking up the majority of the tab.