A select few health insurance companies control a large portion of the individual and employer markets in each state, a new report from the GAO finds. But it's unclear how Obamacare will affect those figures, as more insurers rush to give people more health plan options.
Were patients really sicker? Lawsuits say Medicare Advantage plans inflated diagnoses to boost payments
Critics say the Medicare Advantage program's patient risk-score payment model offers a strong incentive to manipulate the scores, though plans say allegations of improper scoring are a result of invalid audit methods.
Talk about sending mixed messages. Robert McDonald, the new head of the Veterans Affairs Department, wants to hire 28,000 new doctors, nurses and other clinical staff to reduce delays in offering care to the nation's growing VA-eligible population.
The CMS shows a lack of financial accountability and poor recordkeeping regarding federal healthcare law-related expenditures, according to a report from the Government Accountability Office.
HealthCare.gov, the health insurance website serving more than 5 million Americans, has significant security flaws that put users' personal information at risk, nonpartisan congressional investigators have concluded.
The CMS' audit contractors may overlap duties and hammer hospitals with multiple reviews of the same payment claims, according to a new Government Accountability Office report that echoes concerns the provider community has voiced for years.
While federal courts last week ruled on the legality of insurance subsidies issued from federally run exchanges, Congress was hearing about another, much more dollars-and-cents subsidy issue, namely how easy it apparently is for consumers to lie to obtain subsidies.
Per capita spending on Medicaid beneficiaries varied widely across the country in fiscal 2008, according to an analysis by the Government Accountability Office.
Spending on Medicaid enrollees varied widely across the country in fiscal year 2008, according to an analysis conducted by the Government Accountability Office.
Roughly three-quarters of health insurers spent enough money on medical care to avoid paying refunds to their customers in 2011 and 2012, according to a report issued by the U.S. Government Accountability Office. Insurers operating in the individual, small group and large group markets spent a...
Providers and members of Congress are pushing the CMS to rethink its tactics for reducing the number of improper Medicare claims.
Physical therapy services provided to Medicare beneficiaries increased by almost 30% between 2004 and 2010, but unlike other healthcare service-utilization increases, self-referring physicians were not the cause for the jump, according to a new U.S. Government Accountability Office report.