The CMS wants more information about the quality of care Medicare beneficiaries get in long-term-care hospitals, so the agency is preparing a new patient-satisfaction survey tailored to the facilities.
Health plans say they are unsure when they will be able to fully comply with a proposed rule that bans healthcare-related discrimination against transgender people.
Hospitals in more than five dozen metropolitan areas will soon have no choice but to take bundled payments from Medicare for hip and knee replacements. And the skilled-nursing facilities that do business with them face a stark reality of their own.
It was as a son, not a healthcare CEO, that I experienced the pain of my mom's “do not resuscitate” order being ignored. Her medical team pushed through the door and subjected her to a full code, against her wishes, the night her heart beat for the last time.
Attorneys predict that more False Claims Act cases alleging Stark violations are on the horizon partly because two giant cases, involving Tuomey Healthcare System and Halifax Health, alerted potential whistle-blowers inside hospitals to the riches they could pocket.
The recent article “Two more Pioneer ACOs exit as new CMS model emerges” raises good questions about why half of the original 32 Pioneer accountable care organizations have dropped out of the program.
Skilled-nursing facilities are seeking more say in how they contract with accountable care organizations as a new CMS rule for ACOs loosens the coverage policy for some Medicare patients, experts say.
The CMS said the Affordable Care Act may have caused a significant increase in improper Medicaid payments. The rate of improper payments has jumped from 5.8% or $14.4 billion in fiscal 2013 to 9.78% or $29.12 billion in fiscal 2015, according to an HHS financial audit.
The CMS has proposed mandating minimum network standards for health plans sold on the federal insurance marketplace in 2017 as part of an effort to handle the broad shift toward narrow provider networks.
Hospital and physician groups, facing a looming deadline on major changes to reimbursement, say the CMS needs better measures and reporting methods before it ties physician pay to quality and outcomes.
In a rare move, the CMS will terminate Medicare and Medicaid funding at St. Joseph Medical Center in Houston next month after an investigation found the hospital was noncompliant with federal rules.
Six Ohio hospitals are suing HHS over a part of the two-midnight rule that would cut inpatient payments to hospitals.