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Commentary: Medicare, Medicaid protect us from healthcare risks

Commentary: Medicare, Medicaid protect us from healthcare risks

By Judy Feder  |  May 23, 2015

Georgetown University professor and former HHS official Judy Feder writes that the 50th anniversary of Medicare and Medicaid enactment calls for a celebration. Medicare provides health insurance protection to virtually all older Americans and many workers who become disabled.

Demands of an aging population will have Medicare, Medicaid fighting for dollars

By Merrill Goozner  |  May 23, 2015

Medicare and Medicaid evolved in dramatically different ways. Medicare, which provided health coverage for seniors, became the third rail of American politics. Medicaid, a state-based program that provided health coverage for the poor, existed in a political netherworld. All that is about to change.

Blog: Health insurer M&A chatter heats up, but is it overhyped?

By Bob Herman  |  May 22, 2015

The health insurance industry has been abuzz the past few weeks with speculation that a big merger is near. Aetna, Anthem, Cigna Corp. and Humana have all been at its epicenter. But do the rumblings really predict a seismic deal?

Grassley presses CMS on Medicare Advantage fraud

By Lisa Schencker  |  May 21, 2015

Sen. Chuck Grassley (R-Iowa) is pressing the CMS and the U.S. Justice Department to crack down on Medicare Advantage fraud—an issue that's spurring a growing number of lawsuits and could be costing the government billions.

King ruling won't change road to consumer-based health system

King ruling won't change road to consumer-based health system

By Modern Healthcare  |  May 02, 2015

Bruce Broussard, president and CEO of Louisville, Ky.-based Humana discusses his company's use of mobile health information technology to help providers manage patients' care, the movement toward greater consumer choice in healthcare, and recent CMS payment and policy changes for the Medicare...

Cigna's medical costs rise in first quarter

By Bob Herman  |  April 30, 2015

Cigna Corp. spent more premium dollars on medical and drug claims in the first quarter this year for its members in both employer-based and government-sponsored health plans, the company reported Thursday.

Data Points for April 27, 2015

Data Points for April 27, 2015

By Modern Healthcare  |  April 25, 2015

Data Points for the week of April 27, 2015, covered the following topics: E-cigarettes, Medicaid, Medicare Advantage enrollment, mammograms, antimicrobials, epidemiologists

Schwartz to head lobbying group for Medicare Advantage

Schwartz to head lobbying group for Medicare Advantage

By Modern Healthcare  |  April 25, 2015

Former Congresswoman Allyson Schwartz, 66, will be CEO of the Better Medicare Alliance, a Washington-based lobbying organization that advocates for the private Medicare Advantage industry.

Humana invests further in home health visits

By Bob Herman  |  April 21, 2015

Health insurer Humana has acquired Your Home Advantage, a Deerfield Beach, Fla.-based company that sends nurse practitioners and other providers to assess and care for patients in their homes.

Allyson Schwartz named CEO of Medicare Advantage lobbying group

Allyson Schwartz named CEO of Medicare Advantage lobbying group

By Bob Herman  |  April 21, 2015

Former U.S. Rep. Allyson Schwartz is donning a new hat on Capitol Hill. The Pennsylvania Democrat will head the Better Medicare Alliance, a young lobbying organization funded by health insurers, providers and business groups.

Why private-equity firms are buying up primary-care practices

Why private-equity firms are buying up primary-care practices

By Beth Kutscher  |  April 18, 2015

Private-equity firms traditionally have invested in medical groups that offer high-reimbursement potential, such as dermatology and dentistry. Now, equity firms are also scouting for primary-care practices that are ahead of the curve in value-based care.

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