Reimbursement news and information

Humana has filed four federal lawsuits against Farmers Insurance Group of Cos. and related entities, arguing that the Medicare Secondary Payer Act entitles it to reimbursement from Farmers for benefits that Humana paid for Medicare Advantage and Medicare Part D plans.
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Nearly every expert and group that has looked at how to control U.S. medical cost growth says more Americans should fill out advance directives to help reduce costly futile care at the end of life. In 2009, there was some bipartisan support in Congress for having Medicare pay physicians for their...
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The turnaround in the financial markets—and an overall improving economy—means charitable giving has improved at hospitals at a time when their investment portfolios are also seeing greater returns.
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Bipartisan leaders on the House Energy and Commerce Committee released the latest iteration of a draft bill to repeal Medicare's sustainable growth-rate formula. The plan calls for a five-year period of stable payment increases as physicians transition into new payment models. Still to come are...
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The June job report showed gains for the healthcare sector with almost 20,000 new positions. But the industry's job outlook is still anything but stable as two healthcare systems reported plans to shed hundreds of jobs.
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How doctors are reimbursed may not completely explain the difference in the number of common heart procedures performed across different geographic regions, according to a new study.
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Cardiologists and the Infirmary Health System in Mobile, Ala., are accused of needlessly exposing patients to radiation in a nine-year-running kickback scheme tainting an estimated $522 million in Medicare, Medicaid and Tricare reimbursements since 2004.
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Hospitals would get a 1.8% boost in their outpatient Medicare payments next year while the increase for ambulatory surgery centers would total 0.9%, under a proposed rule from the CMS.
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Eli Lilly and Co. and the Alzheimer's Association say that the CMS' proposal to limit coverage of a pricey new test used to identify brain plaques associated with Alzheimer's disease would hinder diagnosis.
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The CMS said it will not provide widespread coverage of a pricey new test that is used to identify brain plaques associated with Alzheimer's disease, but it will cover one scan per patient in limited instances.
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