Lucrative reimbursement for cardiac procedures in Medicare's fee-for-service model is at the heart of an investigation involving three Indiana surgeons accused of performing unnecessary surgeries on hundreds of patients while the hospital turned a blind eye, according to The New York Times.
Medicare beneficiaries will pay an average of 13 percent more on their medications in 2016, the largest increase since 2009, according to a new Kaiser Family Foundation brief.
A new global-risk adjusted model may be more appropriate for accountable care organizations, experts argued in a Health Affairs blog post
The prices for procedures at hospital outpatient departments have increased in recent years at a much higher rate than ambulatory surgical centers, according to a study published in Health Affairs.
Many seniors switch from Medicare Advantage plans to traditional Medicare when they become seriously ill, which raises questions about how well MA plans can serve this population of high-cost patients, according to a new Health Affairs study.
The federal government spent an estimated $124.7 billion in 2014 inimproper payments across 22 government agencies, most of which came from Medicare and Medicaid programs, according to expert testimony from a senior GAO official.
The U.S. population is aging, making Medicare beneficiaries an increasingly prevalent part of practices' patient panels. This trend poses both challenges and opportunities for all medical providers.
Citing frustrations with third-party payers and inadequate time to spend with patients, nearly half (46 percent) of primary care physicians who participated in a recent survey said they would consider transitioning to direct pay, concierge or other membership models in the next three years.
More than two-thirds of Medicare beneficiaries suffer from two or more chronic conditions, which often require more time and resources to manage than most physicians say they have, according to a new report from SmartCCM.
With Medicare spending on the rise, policymakers should work to promote price sensitivity among beneficiaries long after they've met their deductibles, according to the National Center for Policy Analysis.