What Determines Medicare’s “Medical Necessity”
Medicare pays only when a service is “medically necessary”, also known as “reasonable and necessary”, but what does that mean
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Four Things Any Repeal and Replace Legislation Needs to do
In Grace-Marie Turner’s column appearing on Forbes website (www.forbes.com), she states: “Any legislation that clears Congress under the repeal and
Read MorePromising Evidence that May Help Prevent Age-Related Cognitive Decline and Dementia
According to a report by the National Academies of Sciences, Engineering and Medicine (NASEM), there is promising evidence that cognitive
Read MoreIowa’s only statewide ACA exchange insurer requests 43% premium hike
(By Morgan Haefner for Becker’s Hospital Review ) Minnetonka, Minn.-based Medica, the only payer offering ACA exchange plans statewide in
Read MoreAnthem vacates 2018 ACA exchanges in Indiana, Wisconsin
(By Morgan Haefner for Becker’s Hospital Review) Indianapolis-based Anthem said it will pull out of the ACA exchanges in Indiana
Read MoreOne in Five Medicare Patients Return to the Hospital After Observation Stay
According to a new study by Yale University, up to one in five older Medicare patients winds up back in
Read More9 notes on the 2018 proposed rule for MACRA’s Quality Payment Program
(By Emily Rappleye for Becker’s Hospital Review) CMS issued the proposed rule Tuesday for the 2018 performance year of the Quality Payment
Read MoreNevada governor vetoes universal Medicaid plan
(By Alia Paavola for Becker’s Hospital Review) Nevada Gov. Brian Sandoval vetoed a bill on Friday that would have allowed
Read MoreA state-by-state breakdown of per capita Medicare spending
(By Ayla Ellison for Becker’s Hospital Review) There was wide variation in per capita Medicare spending among states in 2014,
Read MoreTightening of Loophole in Reporting Cyberattacks at Hospital and Health Care Centers
Reps. Ted Lieu, D-CA and Will Hurd, R-TX, want to change the Health and Human Service requirements for when hospitals
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