Tag:

Medicare

Latest Headlines

Latest Headlines

CMS' Medicare Advantage Star Ratings on the rise

Overall performance for Medicare Advantage plans with and without prescription drug coverage is on the rise--and the  Centers for Medicare & Medicaid Services  credits its Star Ratings program for driving quality improvement. 

Vermont hospitals received $12 million in overpayments

The Centers for Medicare & Medicaid Services said it overpaid hospitals in Vermont to defray the costs of a state-level provider tax, and has demanded more than $12 million in refunds, Vermont Public Radio reported.

Insurers scrutinized for Medicare plans

Medicare health plans are in the spotlight once again, but not in a good way. Federal officials aren't pleased with the plans, citing  dozens of federal audit reports that indicate the same kind of d eficiencies year after year, reports the  The New York Times.

Critical access hospitals charge Medicare patients high rates for outpatient care

Critical access hospitals may be a vanishing breed, but it's not because they're charging their patients too little, Kaiser Health News has reported.

Financial challenges plague Federally Qualified Health Centers

Federally Qualified Health Centers  provide care to those who need it the most in a not-so-lavish way.  They also do something that other high-funded medical groups do not,  wr ites  Todd Rothenhaus, M.D., chief medical officer for AthenaHealth, in a blog post:  They focus on the patients and providers' quality of care, and worry little about revenue.

Expanded services central to CarePoint Health's plans

CarePoint Health's new CEO Dennis Kelly plans to further expand the business beyond its Hudson County, New Jersey roots while focusing on keeping patients healthy and better coordinating care.

Washington hospital prices vary broadly

As is the case in most parts of the country, hospital prices in Washington state are all over the map, with multiples of three or four between facilities for the same procedure, according to the  Washington Health Alliance.

CMS report suggests a bright yet tough road for ACOs

Three additional ACOs left the Pio neer program this month, leaving just over half of the original 32 participants. 

Mental health scams target Medicare and Medicaid

Fraud involving Medicare and Medicaid mental health benefits has been "a special enforcement problem that stretches back decades," according to former Department of Health and Human Services Inspector General Richard P. Kusserow. 

GAO report: CMS financial records don't line up

The Centers for Medicare & Medicaid Services lacks a sound financial management system,  according to a new report issued by the Government Accountability Office.