Hospitals will receive a modest inpatient prospective payment system bump of 0.9 percent for 2016 under a final rule issued by the Centers for Medicare & Medicaid Services (CMS). However, the agency will not continue the partial delay in enforcing the two-midnight rule, which is now set to expire on Sept. 30.
The nation's skilled nursing facilities will receive a windfall as a result of Medicare's final 2016 payment rule: A $430 million increase in payments next year, which represents a 1.2 percent overall increase.
Private health insurance companies are playing a bigger role than previously anticipated when it comes to covering Medicare and Medicaid beneficiaries.
The industry increasingly is calling upon nonphysician practitioners (NPP) such as physician assistants (PA) and nurse practitioners (NP) to help expand healthcare access and optimize physician efficiency. And according to Medicare billing records, NPPs have certainly stepped up to the plate.
I am hopeful the Centers for Medicare & Medicaid Services' (CMS) proposal to bundle payments for hip and knee joint replacement surgeries will become operational by early next year. But I...
Nearly a quarter of physicians enrolled in Medicare list a potentially ineligible address thanks to weaknesses in the Centers for Medicare & Medicaid's (CMS) provider screening process, according to a report by the Government Accountability Office (GAO). Additionally, CMS systems failed to identify 147 physicians with adverse actions against their medical license.
Although the Medicare Advantage program is widely popular among both insurers and consumers, several healthcare experts don't think Medicare officials should privatize the public insurance program any further.
In a turmultuous political landscape, Medicare and Medicaid have experienced both heartbreak and success, from the drama between Florida Gov. Rick Scott (R) and the Obama administration over Medicaid expansion to Alaska Gov. Bill Walker's (I) latest announcement that he'll expand the program over legislative objections. The public, on the other hand, is generally upbeat about the programs, according to a survey from the Kaiser Family Foundation.
The Medicare program has experienced significant changes that make long-term financial forecasts difficult to trust when making policy decisions. Instead, policymakers should focus on containing the program's costs today, according to a brief from Commonwealth Fund.
Puerto Rico, which already is in the midst of a financial crisis, is facing steep cuts in Medicare Advantage rates and a likely lapse in funds supplementing its Medicaid programs, according to the Washington Post.