Medicare & Medicaid

Jan 25 | Beth Jones Sanborn
Massive gaps leave practices more dependent on reimbursement from commercial payers and commercial contracts,…
Jan 25 | Jeff Lagasse
Volume increase is the main cost driver, as the number of such procedures has sharply risen across nearly all ages under 65.
Jan 24 | Beth Jones Sanborn
Two cases emerged from whistleblower claims about improper billing related to discounted drug prices and insulin pens.
Jan 24 | Beth Jones Sanborn
Hospitals named in the suit include Vanderbilt Medical Center, Atrium Health, Rush University Medical Center, Ochsner Clinic Foundation…
Jan 24 | Susan Morse
Also, seven new insurers join America's Health Insurance Plans including Bright Health; CareFirst BlueCross BlueShield.
Jan 23 | Jeff Lagasse
CMS' renewed interest in mandatory bundled payments includes the possibility of…
Jan 23 | Jeff Lagasse
Spending for retail prescription drugs reached $333.4 billion in 2017, and those…
Jan 23 | Susan Morse
Arizona is the first state to exempt members of federally-recognized tribes.
Jan 22 | Jeff Lagasse
The Medicare population is estimated to have the highest and fastest growing prevalence of opioid use disorder in the U.S.
Jan 22 | Susan Morse
CMS also updates Medicare Advantage value-based insurance design, offering more benefits to attract beneficiaries and increase competition.