The second-highest biller for power wheelchairs received nearly $27 million in improper Medicare payments in 2010, according to a report from the Office of Inspector General.
The expiration of a Medicare incentive program aimed at primary care physicians will hurt margins in some practices, according to an article in Kaiser Health News, though the overall effect on the Medicare market remains unclear.
If physician executives and hospital leaders have not yet read all 1,358 pages of Medicare's 2016 Physician Fee Schedule Final Rule, there is one finding that is essential for them to understand, writes Kent Bottles, M.D., a lecturer at the Thomas Jefferson University School of Population Health and chief medical officer of PYA Analytics, in a post for Hospital Impact.
In the wake of an inspection that found "multi-systemwide failures" that created a major risk of patient harm, Seattle's Western State Hospital may lose millions in Medicare and Medicaid funding, according to the Associated Press.
Although last spring's Medicare Access and CHIP Reauthorization Act rescued physicians who accept Medicare from a 21 percent pay cut under the sustainable growth rate formula, doctors will see a small pay cut in 2016--rather than the promised 0.5 percent raise
Physicians have had the option to bill Medicare for non-face-to-face work they do to manage patients' chronic conditions for about 10 months now, but implementation of chronic care management programs remains relatively low.
Reimbursement for advance-care planning will become a reality for physicians who accept Medicare in 2016, six years after controversy swirling around "death panels" got a similar provision dropped from the Affordable Care Act.
A rare bipartisan budget agreement reached in Congress makes it likely that there will be no government shutdown over spending issues. But hospitals say they are shut out.
The chief executive officer of the Mount Sinai Health System in New York City argues that Medicare's current structure for managing patient readmissions penalizes hospitals that treat the poorest patients.
House Democrats say they will refuse to reduce any Medicare benefits as a way to avoid premium increases next year, according to The Hill. But while this would bode well for millions of Medicare members, it could mean a potential Democrat-Republican House grudge match.