Medicare RAC restrictions hinder HMS Holdings' Q4 growth

By Bob Herman  |  February 27, 2015

HMS Holdings Corp. hit the red ink in the fourth quarter thanks to the lingering standstill in Medicare's recovery audit program, but growing Medicaid contracts offered the company some relief.

Hospitals mount campaign against site-neutral Medicare payments

By Virgil Dickson  |  February 26, 2015

Hospital leaders are working to head off any momentum in Congress toward overhauling Medicare rates to pay hospitals the same for outpatient services as the program pays for the same services in physician offices.

If fee-for-service is a problem, what's the solution?

By Paul Demko  |  February 25, 2015

The fee-for-service payment model for healthcare treatment may be withering, but there's little hard evidence that alternative payment models such as accountable care organizations will provide better care at a cheaper cost, experts agreed in a forum convened by the Federal Trade Commission.

Slavitt builds his CMS leadership team

Slavitt builds his CMS leadership team

By Darius Tahir  |  February 23, 2015

CMS interim leader Andy Slavitt apparently is putting together his senior team as the departure of Administrator Marilyn Tavenner draws closer.

Rate battle peaks as Advantage plans grow

Rate battle peaks as Advantage plans grow

By Bob Herman  |  February 20, 2015

Paula Ercolini is one of about 1.8 million seniors who are part of a Medicare Advantage advocacy group that is blitzing the airwaves and putting pressure on the Obama administration and Congress.

CMS pitches 1.1% boost to Medicare Advantage payments

By Bob Herman  |  February 20, 2015

The CMS has proposed increasing health insurers' Medicare Advantage payments by 1.05% for 2016, a move that kicks off a 45-day dogfight in Washington before the rates are cemented.

Universal American reports smaller annual losses for 2014

By Melanie Evans  |  February 18, 2015

Universal American, a Medicare managed-care and accountable care operator, ended last year with smaller losses on its overall business and its accountable care organizations than those of the prior year.

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