Latest Headlines

Latest Headlines

What caused the Medicare spending slowdown?

Back in 2009, the Congressional Budget Office predicted that Medicare spending would be $706 billion in 2014. But spending will end up amounting to $580 billion.    A number of factors contributed to this  $126 billion gap, according to a new analysis from the Kaiser Family Foundation.

CMS to hit 257,000 docs with Meaningful Use penalties

Roughly 257,000 Medicare eligible professionals (EPs) will be hit with a 1 percent penalty to their Medicare Physician Fee Schedule payments beginning  Jan. 5, 2015, for failing to meet Meaningful Use by Oct. 1, 2014, the Centers for Medicare & Medicaid Services revealed during a press call on Dec. 17. Of those 257,000 EPs, 28,000 will receive a 2 percent penalty for failing to meet an e-prescribing threshold.

Patient's employment status plays big role in readmission

Socioeconomic factors such as employment status are some of the biggest factors impacting the odds of a patient's readmission, according to a new study by Truven Health Analytics.

Place the blame for high hospital prices squarely on deregulation

"That government is best which governs least" is a quote attributed to founding father Thomas Jefferson. Even if Jefferson almost certainly did not say or write those words, it has been...

AHA chimes in on clearing up RAC backlog

The American Hospital Association has appealed directly to the chief administrative law judge of the Office of Medicare Hearings and Appeals to assist in reforming a system currently overloaded with appeals of recoupments made by recovery audit contractors (RAC).

States aim to improve health needs of dual-eligibles

Twelve states are teaming up with the Centers for Medicare & Medicaid Services (CMS) to establish three-year dual eligible demonstration programs with the hopes of improving the health needs of the Medicare-Medicaid dual eligible population,  reports  Healthcare Payer News.

CMS: Healthcare spending growth continues at historic low rate

Healthcare spending in the United States rose 3.6 percent in 2013, according to data from the Centers for Medicare & Medicaid Services (CMS) and p ublished  in the journal  Health Affairs.

AHA asks OIG to drop hospital compliance audits

The American Hospital Association and its consitituents continue to vent to the U.S. Department of Health and Human Services Office of the Inspector General about the use of extrapolation techniques to determine how much hospitals have been overpaid by the Medicare program.

$63M Medicare fraud trial ends in stalemate

After a trial lasting nearly one month, a Miami federal jury couldn't reach a unanimous verdict in the case of a psychiatrist and three therapists charged with a $63 million Medicare fraud conspiracy, the  Miami Herald  reported.

Pursuing those who take the money and run

Stories of healthcare fraud fugitives--captured and at large--have pervaded recent news.