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Medicare

Latest Headlines

Latest Headlines

It's time for CMS to cover virtual colonoscopy

The American Cancer Society endorses virtual colonoscopy as a screening option, and insurance companies like Cigna, UnitedHealthcare and Anthem Blue Cross Blue Shield cover it. Isn't it time for CMS to revisit the issue?

Nursing home chain to pay $2.7M to settle overbilling charges

Two Tennessee nursing home firms have agreed to pay the federal government at least $2.7 million to settle charges of overbilling Medicare and Medicaid for rehabilitation therapy.

CMS extends rural, low-volume hospital payment programs

The Centers for Medicare & Medicaid Services delivers good news to rural hospitals, announcing today that it has implemented the one-year extension to a program that pays up to millions of dollars to hospitals with fewer than 100 beds in rural areas and have a large Medicare patient population.

Mentally ill Medicare patients cost more to treat

The average cost of treating a Medicare beneficiary with mental health and substance abuse issues that are considered severe is $43,792, versus $8,649 for a non-afflicted beneficiary, according to data compiled by Avalere Health.

Tenet obtains high rates for exchange patients

Tenet expects to discount hospital care for exchange-based patients no more than 10 percent compared with its existing book of business, according to Kaiser Health News .

OIG: Medicare spent billions on subpar nursing home care

Medicare paid billions to nursing homes that were not meeting the basic requirements for caring for their patients, according to a report from the Office of the Inspector General.

Healthcare groups have one month to avert 2% Medicare cuts

With the 2 percent reductions in Medicare reimbursement rates to begin April 1, healthcare providers are hoping to use the one-month window to head off the Medicare sequestration cuts.

House bill would expand Medicare to all

Rep. John Conyers Jr. (D-Mich.) and other House members have reintroduced a federal bill that would expand Medicare to a universal, single-payer program.

Red or blue state, Medicaid cuts will sting

Texas and Connecticut represent the "red state" and "blue state" divide in the United State, but both of their providers are hurting due to current or planned cuts to Medicaid.

HHS clawed back $4.2B from healthcare fraud

The Obama Administration recovered more than $4.2 billion in the 2012 fiscal year from entities and individuals that attempted to defraud the Medicare and Medicaid programs.