Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say
(By Tony Leys for KFF Health News) Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health
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DHS -OIG
Nursing homes fail to report 43% of most serious falls: HHS
(By: Elizabeth Gregerson for Becker’s Hospital Review) Nursing homes failed to report 43% of falls that resulted in major injury
Read MoreBilling for Remote Patient Monitoring in Medicare
In 2024, Medicare paid $536 million for remote patient monitoring, a 31 percent increase from 2023. Remote patient monitoring (RPM)
Read MoreMore Medicare patients leaving hospitals against medical advice
(By: Paige Twenter for Becker’s Hospital Review) The rate of Medicare enrollees leaving acute care hospitals against medical advice increased 46%
Read MorePrior Authorization Process Policies in Medicaid Managed Care: Findings from a Survey of State Medicaid Programs
(By Jada Raphael, Elizabeth Hinton, Aimee Lashbrook, and Kathleen Gifford for The Kaiser Family Foundation Published: Aug 07, 2025) Medicaid
Read MoreMedicare Part B Drug Payments: Impact of Price Substitutions Based on 2023 Average Sales Prices
(Source – oig.hhs.gov) Medicare Part B annually spends billions of dollars to cover a limited number of outpatient prescription drugs.
Read MoreHHS, Justice Department form False Claims Act task force
(By: Madeline Ashley for Becker’s Hospital Review) The Justice Department and HHS have launched a joint False Claims Act Working
Read MoreWhich Federal Agencies Make Medicare Work and How Were They Affected by Recent Changes Made by the Trump Administration?
(By Nancy Ochieng, Juliette Cubanski, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 04, 2025) At the start
Read MoreShould CMS monitor biosimilar coverage on formularies?
The U.S. Department of Health and Human Services Office of Inspector General (OIG) released a study that found many Medicare
Read MoreFewer than One in Five Medicare Enrollees Received Medication to Treat Their Opioid Use Disorder
(Source – oig.hhs.gov) In 2023, about 53,000 Medicare Part D enrollees experienced an opioid-related overdose. This is the number of
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