GOP lawmakers are digging their teeth into the Obama administration's efforts to solicit help and donations for private groups working to enroll Americans in new coverage under the reform law. FULL STORY »
After reviewing 2,000 pages of public comments, Senate Finance Committee staffers say the healthcare industry wants clearer rules, fewer redundant audits and more focus on proactive fraud prevention. FULL STORY »
Despite Tricare's ballooning costs, military personnel and their dependents not enrolled in the Pentagon's managed healthcare plan struggle to find private physicians, according to a report from the Government Accountability Office. FULL STORY »
Senators will get their first chance Wednesday to press for operational details from the head of a fledgling CMS office with the power to drive wide-scale changes in Medicare and Medicaid. FULL STORY »
By Joe Carlson | February 22, 2013
| Print Magazine
The popular notion in healthcare is that the most aggressive fraud hunters—known as “zone program integrity contractors,” or ZPICs—focus on small players. That idea is wrong. FULL STORY »
HHS and the Veterans Affairs and Defense departments could improve their reporting on estimated cost savings and cost-effectiveness of spending on preventive health activities, a GAO report says. FULL STORY »
The CMS wants to financially reward doctors who provide high-value care, but a one-year time lag between improvements and payment adjustments might hurt its efforts. FULL STORY »
A report from a federal watchdog gives further evidence of a digital divide between large and urban hospitals on one side and small and rural facilities on the other. FULL STORY »
The GAO says the CMS could potentially save tens of millions of dollars a year by standardizing how Medicare payments to hospitals and physicians are audited before the bills are paid. FULL STORY »
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