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Are AMCs worth the price? 3 experts weigh in.

June 19, 2019


Despite some experts' calls to divert patients away from costly academic medical centers (AMCs), research demonstrates that AMCs might produce better patients outcomes—and might not cost as much as some policymakers fear, a trio of prominent health care experts argue.

Scammers are offering fake genetic tests to steal Medicare, Medicaid beneficiaries' data, HHS' OIG warns

June 17, 2019


HHS' Office of Inspector General earlier this month issued a fraud alert warning Medicare beneficiaries about an alleged ongoing scam involving genetic testing.

HHS OIG: Elder abuse often goes unreported in nursing facilities

June 14, 2019


Nursing facilities often fail to report serious cases of potential abuse and neglect of Medicare beneficiaries, according to two new reports from HHS' Office of Inspector General.

CMS wants to know: How can it reduce clinicians' administrative burdens?

June 11, 2019


CMS on Thursday issued a request for information seeking new recommendations on how the agency can continue to help reduce administrative burdens on providers and lower health care costs.

Why 250K Medicare beneficiaries are about to be hit with an unexpected bill

June 10, 2019


An estimated 250,000 Medicare beneficiaries can expect to get bills for up to five months of premiums they likely thought already had been paid, but had not because of a "processing error" that occurred in January, according to the Social Security Administration.

SCOTUS just sided with hospitals over $4B in Medicare payments

June 4, 2019


The Supreme Court in a 7-1 decision has upheld a lower court ruling that CMS improperly changed Medicare's disproportionate-share hospital payment formula.

How CMS' new exact match policy could put hospital payments at risk

June 3, 2019


Hospitals have about one month to ensure their off-campus and outpatient facilities' addresses exactly match what CMS has on file or risk missing out on Medicare payments.

Weekly Line: Why this expert thinks CMS' new value-based payment models are 'top of the list'

May 31, 2019


CMS' Center for Medicare and Medicaid Innovation (CMMI) last month unveiled the CMS Primary Cares initiative, the agency's latest effort to shift the U.S. health system toward paying for quality rather than quantity.

CMS finalizes long-awaited changes to program that aims to keep frail, elderly out of nursing homes

May 30, 2019


CMS on Tuesday released a long-awaited final rule updating the Programs of All-Inclusive Care for the Elderly, or PACE, which offers comprehensive medical and social services to certain frail, elderly individuals who qualify for nursing home care but are still able to safely live in their communities.

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