The Puerto Rican healthcare system, which serves the 3.4 million people devastated by Hurricane Maria, operates under patently unfair Medicaid and Medicare funding rules.
A top CMS official agrees with an influential congressional advisory group that suggests a new Medicare pay model meant to encourage doctors to improve the quality of patient care needs work and plans to turn to industry stakeholders to help modify the initiative.
Cleveland Clinic is partnering with Humana to create two new Medicare Advantage health plans.
The CMS banned Via Christi Health from enrolling any more patients in its managed-care plan for dual-eligibles after finding numerous instances of poor patient care.
MACRA's approach to reimbursing physicians is here, but many doctors and administrators are still trying to get a handle on how it works. Read on for tips on how to deal with this major change to the Medicare payment system.
Amedisys, one of the nation's largest home health operators, is closing four locations in Florida and consolidating three more where it already has centers.
The influential congressional advisory committee wants to eliminate two quality programs and merge two others in order to reduce hospitals' reporting and compliance burden.
A Medicare pay model meant to encourage doctors to improve the quality of patient care should be junked as it's too burdensome and poses no benefit, according to an influential congressional advisory group.
HHS' OIG called on the CMS to collect medical-device specific information as part of its claims process, a move that could help the agency quickly identify poorly performing devices.
While few expect the Trump administration to dial back on its agenda to ease the regulatory burden on providers, Dr. Tom Price's resignation as HHS secretary could force agency heads to tap the brakes on any bold new policies.
With high-deductible insurance generally requiring patients these days to pay for all care until June, hospitals are relying on revenue-cycle cost estimators to have frank payment conversations with patients before treatment.
A looming cut for clinical labs may curb the ability of providers to order the tests for their patients to detect illnesses.