"The Medicare Trustees report today reminds us of the financial challenges facing Medicare, along with the overall high cost of health care. With 64 million Americans expected to be enrolled in Medicare by 2020, we must do more to reduce wasteful spending throughout our health care system. "For starters, we can reduce costs and find significant sa
Jessica L. Parker-Battle, a health law attorney in Greenberg Traurig's Boston office, was appointed Vice Chair of the American Bar Association Health Law Section's Membership Committee. She advises and represents health care clients under state and federal laws relating to False Claims Acts, health care fraud and abuse, Medicare, Medicaid, third-pa
EVENT: Health and Human Services Department; Centers for Medicare& Medicaid Services holds a meeting of the Advisory Panel on Hospital Outpatient Payment on the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, and hospital outpatient therapeutic services supervision issues.
July 27 When it comes to financial losses, hospitals largely control their own fortunes. Nationally, and in New Mexico, where analysis of hospital pricing data from the federal Centers for Medicare and Medicaid Services showed markups on health care sometimes exceeding 800 percent of the government-prescribed rates, pricing has a direct correlati
IPRO has won a five-year award as the Medicare- funded Quality Innovation Network contractor for the states of New York and South Carolina and for the District of Columbia. Two other contractors, Ohio- based KePRO and Maryland- based Livanta will be responsible for reviewing all Medicare beneficiary appeals and quality of care complaints beginning
WASHINGTON Medicare's finances are looking brighter, the government said Monday. The trustees who oversee Social Security and Medicare issued their annual report Monday on the financial health of the government's two largest benefit programs. The trustees project a 1.5 percent increase in monthly Social Security payments to beneficiaries for nex
SUMMARY: This notice with comment period describes the general criteria we intend to use to evaluate the effectiveness and efficiency of Beneficiary and Family Centered Care Quality Improvement Organizations that will enter into contracts with CMS under the 11th Statement of Work in May 2014 titled, " Beneficiary and Family Centered Care Quality...
WASHINGTON, July 28, 2014/ PRNewswire-USNewswire/ Medicaid Health Plans of America, the leading advocacy organization representing Medicaid managed care organizations, congratulates North Carolina's Senate for approving on second reading a real Medicaid reform plan that will deliver coordinated, high quality care to the needy in The Tar Heel Stat
By a News Reporter-Staff News Editor at Managed Care Weekly Digest Fresh data on Medicare and Medicaid are presented in a new report. According to news reporting from Pittsburgh, Pennsylvania, by NewsRx journalists, research stated, "Little is known about how Medicare Part D plan features influence choice of generic versus brand drugs. Generic co
This hearing will examine recent findings by the Government Accountability Office and the Health and Human Services Office Office of Inspector the General of inappropriate state Medicaid financing techniques and wasteful and unlawful Medicaid spending. Cindy Mann, a Deputy Director at the Centers for Medicare and Medicaid Services, will also provid
Reports from University of California Advance Knowledge in Medicare and Medicaid. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Researchers detail new data in Medicare and Medicaid. According to news reporting from Berkeley, California, by NewsRx journalists, research stated, "This study quantifies racial/ethnic differences i
July 28 Does anyone else get the idea that Senate Republican supporters of Medicaid expansion may be getting buyer's remorse? Richard Barry, R- Merrimack the only House GOP member opposed even adding a hearing aid benefit for those who are newly eligible even though it already exists for those on Medicaid. Republican candidate for governor Wa
More than 750,000 Americans with chronic hepatitis C receive state-funded healthcare through Medicaid or the prison system. In its Drug Trend Report released earlier this year, Express Scripts forecast that the U.S. will spend 1,800 percent more on hepatitis C medications in 2016 than it did in 2013. No major therapy class has experienced this high
Studies from Pfizer Yield New Information about Medicare and Medicaid. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Data detailed on Medicare and Medicaid have been presented. Our news journalists obtained a quote from the research from Pfizer, "Pharmacy and medical claims data from Humana and Thomson Reuters MarketScan w
Studies in the Area of Medicare and Medicaid Reported from University of California. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Researchers detail new data in Medicare and Medicaid. Our news journalists obtained a quote from the research from the University of California, "The Centers for Medicare and Medicaid Services hav
Study Data from University of Michigan Provide New Insights into Medicare and Medicaid. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Investigators publish new report on Medicare and Medicaid. Our news journalists obtained a quote from the research from the University of Michigan, "Data base consisted of claims for 63,141 Med
According to news reporting out of Boston, Massachusetts, by NewsRx editors, research stated, "Despite the imminent expansion of Medicaid coverage for low-income adults, the effects of expanding coverage are unclear. The 2008 Medicaid expansion in Oregon based on lottery drawings from a waiting list provided an opportunity to evaluate these effects
The Congressional Budget Office released its "2014 Long-Term Budget Outlook" this month, projecting Social Security and health- care spending to result in "unsustainable" federal deficits through the next quarter-century. By 2039, federal spending for Social Security, Medicare, Medicaid, the Children's Health Insurance Program and subsides for heal
WASHINGTON, July 28, 2014/ PRNewswire-USNewswire/ The Concord Coalition said today that the new reports from the Social Security and Medicare trustees highlight the need for prompt reform of federal entitlement programs, with further delays in such work creating a particular problem for Social Security's Disability Insurance program.
The 2014 Social Security and Medicare trustees' reports highlight the need for Congress and the administration to address the financial condition of these programs now. Despite a slowdown in health care spending in recent years, the Medicare trustees' report shows that Medicare continues to face significant solvency and sustainability issues.
July 27 In a bid to cut Medicare spending and help pay for health-care changes, the Obama administration has significantly expanded audits designed to recover improper payments from health-care providers. "It's dead easy to commit fraud under Medicare, and that's why there's so much fraud and abuse out there," Fox said. At a significant cost, Fo
July 26 A new penalty mandated by the Affordable Care Act could cause local hospitals to lose 1 percent of every Medicare payment for a year starting in October. Ratings: In a preliminary ratings report published by Kaiser Health News, federal officials ranked 761 facilities the lowest-performing quarter of hospitals in terms of hospital-acquir