A national conversion from magnetic strip-based credit and debit cards to cards embedded with security enhancing computer chips is already underway and could prove a boon to providers, after some upfront costs and hassles.
Federal investigators say the current process to review and recommend how Medicare pays doctors leaves it susceptible to inaccurate reporting and conflicts of interests.
The Medicare Payment Advisory Commission has appointed former Kaiser Permanente executive Dr. Francis “Jay” Crosson to replace Glenn Hackbarth as chairman.
A payment reform strategy offering consolidated billing codes and bundled cancer-care payments aims to “fundamentally restructure” the way cancer care is paid for in the U.S.
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.
Members of the U.S. Senate Special Committee on Aging called on the CMS during a hearing Wednesday to make changes to Medicare's recovery audit contractor program, which some providers have identified as a driving force behind the rise in observation stays in recent years.
A federal appeals court rejected a challenge brought by 186 hospitals over what Medicare paid them for particularly expensive patients in 2005 and 2006. But it also ruled that HHS should revisit the way it set 2004 outlier payments.
The Congressional Budget Office is under new leadership, and the agency made it clear Tuesday that a different type of economic analysis will be used to study the effects of federal spending policies, particularly those in healthcare. That could affect projections regarding the ACA.
GOP lawmakers are pushing to ease the tight restrictions on physician-owned hospitals imposed by the 2010 healthcare reform law, arguing that the rules are shutting down a valuable source of competition.
Federal prosecutors say Westchester Medical Center has settled a lawsuit that alleged it paid kickbacks for referrals and overcharged Medicare.
Reports of low enrollment are not dampening CMS officials' optimism over moves aimed at improving coordination of care for millions of low-income and disabled Americans who are dually eligible for Medicaid and Medicare.
More than 50% of Medicare's 39 million Part D enrollees have their prescription drug coverage through one of three insurers.