Accountable Care Organizations, Explained
One of the main ways the Affordable Care Act seeks to reduce health care costs is by encouraging doctors, hospitals
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GAO – Medicare Part D RAC Needs Improvement
Citing low recovery amounts and difficulties in selecting audit targets, the U.S. Government Accounting Office audit report sets forth a
Read MoreMore dialog on validity of ACA hospital readmission penalties
This week’s JAMA Internal Medicine article on hospital readmission penalties–$420 million this year–mandated by the Affordable Care Act is highlighted
Read MoreGuidance on Reporting Medicare Fraud
Medicare is a big problem…one that robs upwards of $60 billion each year from the program. In a post written
Read MoreValue-based Insurance Design Drawing Positive Attention
In a joint press release issued by U.S. Sens. John Thune (R-S.D.) and Debbie Stabenow (D-Mich.), the Center for Medicare & Medicaid
Read MoreReadmission penalties examined
Safety-net hospitals and research hospitals may be unfairly penalized by current medicare quality assessment rules, says a study published recently
Read MoreMedicare Part D Open Enrollment News
It’s just around the corner, so now’s the time to start thinking about it. C.R. Walker, in a post on www.theherald-news.com, provides
Read MoreMedical Plan Consolidation Update
America’s health insurance industry consolidation is picking up steam in the wake of King v. Burwell. In an article titled
Read MoreLawmakers Push Plan To Replace Medicare Cards With ‘Smart Cards’
The move could help prevent fraud, the lawmakers say. Also, a congressional advisory group is studying Medicare’s drug policies. Rep. Peter
Read MoreCenters for Medicare & Medicaid Services Give Positive Nod to ACOs
In recent reports, The Centers for Medicare & Medicaid Services (CMS) credited Accountable Care Organizations (ACOs) for generating cost savings and
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