Payers Latest News news and information

Congressional Budget Office analysts sharply lowered their projections for the next decade's outlays on Medicare, Medicaid and covering the uninsured under the healthcare reform law.
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Senate Finance Committee Chairman Max Baucus opened the panel's first hearing in six years on Medicare physician pay with assertive rhetoric about scrapping the hated sustainable growth-rate formula this year. .
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Nearly 100 people, including 14 doctors and nurses, were charged for their roles in separate Medicare scams that collectively billed the taxpayer-funded program for roughly $223 million in bogus charges in a massive bust spanning eight cities, federal authorities said Tuesday.
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Republican governors backing an expansion of Medicaid continue to hit headwinds in those efforts, and it is unclear what lessons can be drawn from the outcomes experienced by two of their colleagues.
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The Obama administration issued the rules Monday to carry out a major hospital Medicaid cut, even as it is trying to delay the reduction scheduled to begin in five months.
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An eight-year initiative aimed at improving healthcare quality and lowering costs has entered its final phase, and its director says the project's lessons could serve as best practices for healthcare providers across the nation.
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The CMS and Medicare beneficiaries could have saved an estimated $510 million on drugs used to treat end-stage renal disease in 2011 if the reimbursement rate more accurately reflected current usage of these drugs, according to a report from HHS' inspector general's office.
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Just ahead of Mother's Day, President Barack Obama on Friday spoke from the White House about the ways his signature healthcare law will help millions of American women and their families.
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Individuals who act as navigators assisting consumers in applying for health coverage through state insurance exchanges should have extensive training and exam-based certification, the trade association for brokers and agents has told the CMS.
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A California law that created an agency to oversee national healthcare reforms granted it sweeping authority to conceal its spending on contractors.
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