Medicare & Medicaid

Dec 27, 2017 | Susan Morse
For 2019, CMS will blend 25 percent of encounter data into risk scores for MA payment.
Medicare Shared Savings program
Dec 27, 2017 | Susan Morse
Some ACOs say integrated systems and EHRs are necessary, while others put emphasis on physician…
Physician groups slapped with $33M settlement over alleged kickback scheme
Dec 19, 2017 | Beth Jones Sanborn
Dallas-based EmCare, Pennsylvania-based Physicians' Alliance Ltd named in whistleblower lawsuits over…
Dec 15, 2017 | Fred Schulte, Kaiser Health News
Labs that were paid millions are now deeply in debt to Medicare with few assets on hand.
Dec 13, 2017 | Beth Jones Sanborn
Eligible clinicians can report quality information for only one patient using just one measure but they have to…
HHS approves pilot for MA access to patient discharge records
Dec 12, 2017 | Susan Morse
The department shared details about the initiative but redacted names of key participants.
healthcare fraud
Dec 07, 2017 | Beth Jones Sanborn
Defendants used the stolen funds to buy lavish multi-million dollar homes, expensive handbags and luxury travel.
Dec 06, 2017 | Beth Jones Sanborn
Week five saw exactly 823,180 choosing plans, including 271,207 new consumers, CMS data shows.
Dec 05, 2017 | Susan Morse
Due in large part to an aging baby boomer population, Medicare and Medicaid account for nearly 60 percent of top…
Dec 01, 2017 | Beth Jones Sanborn
DOJ spokesperson said penalty could have been much higher if hospital had not fully cooperated…