Overall performance for Medicare Advantage plans with and without prescription drug coverage is on the rise--and the Centers for Medicare & Medicaid Services credits its Star Ratings program for driving quality improvement.
The Centers for Medicare & Medicaid Services said it overpaid hospitals in Vermont to defray the costs of a state-level provider tax, and has demanded more than $12 million in refunds, Vermont Public Radio reported.
Medicare health plans are in the spotlight once again, but not in a good way. Federal officials aren't pleased with the plans, citing dozens of federal audit reports that indicate the same kind of d eficiencies year after year, reports the The New York Times.
Critical access hospitals may be a vanishing breed, but it's not because they're charging their patients too little, Kaiser Health News has reported.
Federally Qualified Health Centers provide care to those who need it the most in a not-so-lavish way. They also do something that other high-funded medical groups do not, wr ites Todd Rothenhaus, M.D., chief medical officer for AthenaHealth, in a blog post: They focus on the patients and providers' quality of care, and worry little about revenue.
CarePoint Health's new CEO Dennis Kelly plans to further expand the business beyond its Hudson County, New Jersey roots while focusing on keeping patients healthy and better coordinating care.
As is the case in most parts of the country, hospital prices in Washington state are all over the map, with multiples of three or four between facilities for the same procedure, according to the Washington Health Alliance.
Three additional ACOs left the Pio neer program this month, leaving just over half of the original 32 participants.
Fraud involving Medicare and Medicaid mental health benefits has been "a special enforcement problem that stretches back decades," according to former Department of Health and Human Services Inspector General Richard P. Kusserow.
The Centers for Medicare & Medicaid Services lacks a sound financial management system, according to a new report issued by the Government Accountability Office.