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Medicare

Latest Headlines

Latest Headlines

8 cities with the highest hospital readmission rates

Medicare's 2014 comprehensive  measure  of hospital readmissions show that 364 hospitals across the country, in states such as Illinois, Maryland, Massachusetts, New Jersey, New York and Rhode Island have higher hospital readmission rates than the national average.

New proposed ACA-alternative plan calls to 'repeal and replace'

In the words of those who oppose the Affordable Care Act, "the U.S. healthcare system is in need of substantial reform."  This statement comes from the latest installment of proposals to the healthcare reform law. In his "Transcending Obamacare: A Patient-Centered Plan for Near-Universal Cover and Permanent Fiscal Solvency," Senior Fellow at the Manhattan Institute and Opinions Editor at  Forbes  Roy Avik's report highlights the "repeal and replace" approach.

Will Medicare reimburse end-of-life planning?

As  predi cted, the  American M edical Association  issued recommendations for Medicare to cover end-of-life discussions with patients, a change that could prompt physicians to initiate these conversations more often, according to an  arti cle  from the  New York Times.

Home care benefits drive losses and gains

Medicare and Medicaid in-home care made news last week in stories showing that the same service setting can drive program dollar losses or savings depending on providers and patients involved.

CMS offers to settle disputed short-term hospital claims

The Centers for Medicare & Medicaid Services will end the long wrangling with hospitals over short-term inpatient stays.

Another Pioneer ACO drops out of program

Sharp HealthCare in San Diego dropped out of the Medicare Pioneer accountable care organization program, citing fundamental flaws in the program, according to the company's third quarter financial statement.  

American Hospital Association calls for end to OIG audits

The American Hospital Association called on the U.S. Department of Health and Human Services to cease what it calls "flawed and redundant" audits by its Office of the Inspector General in a letter to HHS Secretary Sylvia Burwell.

Fighting prescription drug fraud: 2 wins and a delay

The federal government scored big wins against prescription drug fraud last week, while New Jersey pushed back its implementation deadline for providers' use of securer prescription pads.  

Radiology managers still skeptical about Medicare reimbursements

Medical imaging managers and directors continue to have low confidence that they will be adequately reimbursed by Medicare for diagnostic and interventional imaging services.

CMS solicits ideas for engagement models

The Centers for Medicare & Medicaid Services is soliciting comments through Sept. 15 about its proposed initiatives to test new engagement models for Medicare, Medicaid and the Children's Health Insurance Program.