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Care-transitions fumbles highlight CMS' reform challenges

Care-transitions fumbles highlight CMS' reform challenges

By Melanie Evans  |  April 28, 2015

A CMS evaluation of community agencies' efforts to reduce hospital readmissions found that few succeeded. Critics of the evaluations and resulting contract terminations say the agency relied on unrealistic targets and flawed measures.

Blog: Should Medicare make the switch to electronic cards?

Blog: Should Medicare make the switch to electronic cards?

By Bob Herman  |  April 27, 2015

Medicare could benefit by moving to a system of electronic cards, according to a report from the Government Accountability Office. But such a switch could be costly for providers and create a host of problems with current electronic health records.

Medicaid saves billions more than Medicare from drug rebates

Medicaid saves billions more than Medicare from drug rebates

By Virgil Dickson  |  April 27, 2015

A federal law that limits the amount of money Medicare can recoup in drug rebates means the CMS is saving billions more on drugs for Medicaid beneficiaries than for those in Medicare's Part D prescription drug program.

Healthcare logjam breaks in Congress

Healthcare logjam breaks in Congress

By Paul Demko  |  April 25, 2015

There are signs of a partisan thaw in Congress that is allowing movement on healthcare legislation in the wake of the recent Medicare physician-payment overhaul. And a sharp uptick in lobbying spending by major healthcare industry groups suggests stakeholders see at least a temporary break in the...

House and Senate budget talks target Affordable Care Act

House and Senate budget talks target Affordable Care Act

By Paul Demko  |  April 22, 2015

House and Senate Republicans are likely to agree on a budget that abolishes the healthcare reform law. But the real discussion about 2016 spending will come as another government shutdown looms toward the end of September.

Future of dual-eligible demonstrations questioned due to low enrollment

Future of dual-eligible demonstrations questioned due to low enrollment

By Virgil Dickson  |  April 21, 2015

Health plans and state officials are concerned that an ambitious effort to improve coordination of care for millions of low-income and disabled Americans may not yield the cost savings the Obama administration and states hoped for—at least in the projected time frame.

Florida plans to sue CMS alleging coercion on Medicaid

By Lisa Schencker  |  April 18, 2015

Florida Gov. Rick Scott plans to sue the CMS, accusing the agency of unconstitutionally trying to force the state to expand Medicaid by ending funding that now helps Florida hospitals pay for uncompensated care for low-income and uninsured patients.

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