More Medicare Advantage plans nabbed top quality marks for their 2016 plans than last year, but the CMS' star ratings, released Thursday, show that private Medicare plans are still failing on many levels.
West Chester Hospital in Cincinnati and its parent company UC Health will pay $4.1 million to settle allegations that the hospital submitted claims for medically unnecessary spine surgeries. The settlement reflects the government's growing interest in targeting unnecessary care.
A list of critical-access hospitals by state, ranked by the number of CAHs as of Sept. 1, 2015. Source: Flex Monitoring Team. Published Oct. 5, 2015, p. 34.
The CMS Innovation Center says the 483 medical practices participating in its Comprehensive Primary Care initiative achieved $24 million in gross Medicare savings, but few saved more than what the government paid them to coordinate patients' care.
Universal American has agreed to sell its underperforming traditional insurance businesses at a steep loss, and will invest more in its core Medicare plans and accountable care models.
State Medicaid agencies are bracing for hundreds of millions in new obligations thanks to a significant increase in Medicare premiums.
Studies have shown that irrational prices exist in a variety of healthcare procedures—from MRIs and cholesterol tests to knee replacement surgeries and angioplasties. Now, we can add an array of women's health services to the list.
A federal watchdog group sent out an alert this week about information blocking and potential violations of the anti-kickback law. Some experts say that hints at the OIG's growing concern about the issue.
Kidney-care providers are still battling methods used by the CMS to help dialysis patients evaluate quality at more than 5,500 U.S. treatment centers. The ratings are difficult to understand and are not consistent with other online public-rating systems, according to a report released Tuesday.