Search Results for "Medicare"

When CMS recently released hospital chargemaster and payment data for the 100 hospital codes most frequently billed to Medicare, there was much written and said about the significance of the data release.

How consolidation and integration plays out will determine if providers or payers have more influence on competition suggested experts at a conference last week sponsored by America's Health Insurance Plans (AHIP).

The case for healthcare reform was that insuring more patients would reduce the occurrence of cost shifting, but not everyone agrees that cost shifting is as prevalent as some think.

A new report by the Society of Actuaries has found that aging is not as overwhelming a driver of increased healthcare spending as is generally believed.

Hospitals facing onslaught of challenges including recent 2 percent Medicare sequestration

In an effort to take the first steps toward a more transparent pricing structure in the U.S. healthcare market, the Center for Medicare & Medicaid Services yesterday published nationwide hospital charge data showing wide variations in how much Medicare pays for services in different markets.

The healthcare industry is on notice: Fraud recoveries in the healthcare sector are on the rise and whistle-blowers are the biggest weapon in the fight against fraud.

In the last few years the scope of responsibilities and duties delegated to medical directors has been evolving to include more responsibility over measures of quality within their healthcare organizations.

On April 10, 2013, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) published parallel proposed rules revising, respectively, the Stark exception and Anti-Kickback safe harbor concerning electronic health record (EHR) items and services.