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Medicare

Latest Headlines

Latest Headlines

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.

How to head off DME prior authorization troubles

A new federal rule that requires prior authorization for certain durable medical equipment could lead to extra paperwork for physicians and frustration for patients, according to an article from  Family Practice News.

More than 200K to see hit in Medicare payments after failing to meet MU requirements

More than 200,000 eligible professionals are set to see a slash in their Medicare payments after failing to meet Meaningful Use standards in 2014, according to a fact sheet released by the Centers for Medicare & Medicaid Services.

Socioeconomic factors may be overemphasized in hospital readmission penalties

The socieconomic status of patients may factor less into their risk of being readmitted to a hospital within 30 days of discharge than the quality of care they receive after their release.