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News
GAO finds Medicare's audit contractors may duplicate efforts
By Bob Herman | August 14, 2014 | Basic Web Basic Web Subscription Details
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.
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Magazine
Fictitious applicants easily get ACA subsidies: GAO
By Paul Demko | July 26, 2014 | Print Magazine Print Magazine Subscription Details
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.
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Magazine
Per capita Medicaid spending varies widely: GAO
By Paul Demko | July 19, 2014 | Print Magazine Print Magazine Subscription Details
Per capita spending on Medicaid beneficiaries varied widely across the country in fiscal 2008, according to an analysis by the Government Accountability Office.
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News
States show vast Medicaid spending discrepancies in GAO report
By Paul Demko | July 16, 2014 | Basic Web Basic Web Subscription Details
Spending on Medicaid enrollees varied widely across the country in fiscal year 2008, according to an analysis conducted by the Government Accountability Office.
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News
Most insurers hit medical-loss ratio requirements: GAO
By Paul Demko | July 10, 2014 | Basic Web Basic Web Subscription Details
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...
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News
Medicare's audit contractors are failing, say lawmakers and hospitals
By Virgil Dickson | July 09, 2014 | Basic Web Basic Web Subscription Details
Providers and members of Congress are pushing the CMS to rethink its tactics for reducing the number of improper Medicare claims.
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News
Medicaid pays less for drugs than other federal programs, GAO says
By Paul Demko | July 01, 2014 | Basic Web Basic Web Subscription Details
Medicaid pays significantly less for prescription drugs than other government healthcare programs, according to an analysis conducted by the Government Accountability Office.
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News
Physical therapy services up 30%, but self-referrals not to blame
By Andis Robeznieks | June 03, 2014 | Basic Web Basic Web Subscription Details
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.
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Magazine
Hospitals brace for challenges serving more veterans
By Virgil Dickson | May 31, 2014 | Print Magazine Print Magazine Subscription Details
The Obama administration's new policy of referring more veterans for care outside the overwhelmed Veterans Affairs health system could end up straining non-VA hospitals because of potential lags in payment and patient needs that civilian providers aren't necessarily prepared to handle.
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News
Sebelius’ Enroll America fundraising limited to two calls: GAO
By Paul Demko | April 21, 2014 | Basic Web Basic Web Subscription Details
HHS Secretary Kathleen Sebelius' fundraising efforts on behalf of a not-for-profit group leading Obamacare enrollment efforts were limited to two previously disclosed phone calls, according to a report issued Monday by the U.S. Government Accountability Office.
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