Latest Headlines

Latest Headlines

Skilled nursing facilities will receive 1.4% payment bump in 2016

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.

In modern versions of Medicare and Medicaid, private insurers play major role

Private health insurance companies are playing a bigger role than previously anticipated when it comes to covering Medicare and Medicaid beneficiaries.

Payments to NPs, PAs outpace physicians

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.

CMS' joint replacement initiative won't keep surgery volumes in check

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...

Medicare physician enrollment screening overlooks questionable addresses, license reviews

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.

Health policy experts say Medicare is more efficient than Medicare Advantage

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.

Despite political wrangling, the public likes Medicaid and Medicare programs

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 impact of policy changes, long-term forecasting on Medicare spending

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 could lose billions in Medicare, Medicaid payments

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.

CMS to transform hip and knee replacement payment model

Medicare will now pay providers who perform hip and knee replacement surgeries based on their ability to deliver high-quality, low-cost care under a five-year initiative announced Thursday by the federal government.