Medicare auditors saved program $214M in FY 2016 and 7 other things to know
(By Kelly Gooch for Becker’s Hospital Review) The Medicare Recovery Audit Contractor program corrected $404.46 million in overpayments and $69.46
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CMS names 6 Medicaid advanced APMs for 2019
(By Morgan Haefner for Becker’s Hospital Review) For the 2019 performance year, CMS said six Medicaid payment arrangements will qualify as Advanced
Read moreCMS proposes new Medicare compliance rules: 7 things to know
(By Kelly Gooch for Becker’s Hospital Review) CMS issued a proposal to update its Medicare compliance requirements Sept. 17, which includes eliminating
Read moreA Setback For Massachusetts In States’ Drive To Contain Medicaid Drug Spending
(By Martha Bebinger for NPR) States serve as “laboratories of democracy,” as U.S. Supreme Court Justice Louis Brandeis famously said.
Read moreMedicare Shared Savings Program produces substantial savings
In six years, the Medicare Shared Savings Program (MSSP), has grown to include 561 participating accountable care organizations (ACOs) serving
Read moreJudge throws out CMS 2014 rule, now how will CMS determine whether it has overpaid
On Friday, the U.S. District Court for the District of Columbia granted UnitedHealth’s motion for summary judgement and vacated CMS’s
Read moreUnwitting Patients, Copycat Comments Play Hidden Role In Federal Rule-Making
(By Sarah Jane Tribble for Kaiser Health News) A proposal to sharply cut a drug discount program that many hospitals
Read moreMedicare Part B Policy Change effective January 1, 2019
Under the new policy to beginning January 1, 2019, Medicare Advantage enrollees may be required to use lower-cost alternatives to
Read moreProposed payment changes could influence hospitals’ acquisition strategies
(By Kelly Gooch and Ayla Ellison for Becker’s Hospital Review) CMS’ 2019 Medicare Outpatient Prospective Payment System proposed rule, which calls
Read moreStarting in 2020, Medicare Advantage plans will have the flexibility
Medicare Advantage plans will have the flexibility to target non-medical health-related services to those members who have chronic care conditions
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