Medicare & Medicaid

Pay-for-performance program is failing
Nov 30, 2017 | Jeff Lagasse
In the end, the program has shifted money away from physicians who treated sicker, poorer patients to…
Nov 30, 2017 | Susan Morse
Transportation to doctor's appointments and the pharmacy focuses on making sure MA members get needed care, medication for…
CMS cancels mandatory bundled payment models
Nov 30, 2017 | Susan Morse
CMS Administrator Seema Verma said the agency will announce new voluntary payment bundles soon.
Nov 29, 2017 | Beth Jones Sanborn
Layoffs for workers in Delaware follow hundreds in Phoenix earlier this month after loss of TriCare contract.
Nov 28, 2017 | Susan Morse
Integration with providers, narrow network ACO models, speaking members' languages and improving patient experience all key to…
Nov 27, 2017 | Jeff Lagasse
Hospitals and other providers spend nearly $39 billion a year solely on the administrative activities associated with…
Nov 27, 2017 | Susan Morse
In 25 states starting in 2019, plans will be able to provide Medicare beneficiaries with more choices and lower cost, CMS…
Nov 27, 2017 | Susan Morse
Since Nov. 1, 2.27 million consumers have enrolled, outpacing the 2.13 million who signed up by Nov. 26, 2016.
Rural Medicare
Nov 27, 2017 | Susan Morse
A total of 30 rural hospitals are taking part in the budget neutral program that pays higher Medicare rates.
AHIP for CMS for proposed  Medicare Advantage flexibility
Nov 22, 2017 | Susan Morse
New proposed rule offers insurers more plan flexibility and eases regulations.