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Groups ask CMS to stop dialysis facilities from steering patients into private health plans

April 18, 2018


A coalition of consumer groups, health care insurers, and unions are urging CMS to re-issue a final rule intended to stop dialysis facilities and other third parties from steering Medicare-eligible patients with end-stage renal disease into individual market plans in instances when the facilities or third parties either directly or indirectly have a financial interest in doing so.

After Paul Ryan: What's next for Medicare, Medicaid reform?

April 12, 2018


House Speaker Paul Ryan's (R-Wis.) announcement that he will not seek re-election in November is raising questions about whether Congress will achieve Ryan's long-sought goal to overhaul federal entitlement programs, such as Medicare and Medicaid.

Feds recovered $2.6B from health care fraud efforts last year, report finds

April 12, 2018


An HHS Office of Inspector General report finds the federal government recovered $4.20 for every $1 spent through the Health Care Fraud and Abuse Control Program during fiscal years 2015 through 2017.

The target of Trump's latest executive order: Work requirements—in Medicaid and beyond

April 11, 2018


Senior Trump administration officials say the executive order, titled "Reducing Poverty in America by Promoting Opportunity and Economic Mobility," aims to provide a framework for federal agencies to overhaul federal assistance programs by requiring recipients to demonstrate they either are working or seeking employment, but some industry experts say such requirements are ineffective.

CBO projects trillion-dollar deficits, rising spending on Medicare and Medicaid

April 11, 2018


The Congressional Budget Office report states that "health care costs per beneficiary are projected to grow faster than the economy over the long term, contributing to growth in spending for Medicare and Medicaid in particular."

Meet the new director of innovation for Medicare and Medicaid

April 9, 2018


Adam Boehler, the founder and former CEO of Landmark Health, beginning this week will serve as the new deputy administrator and director of CMS' Center for Medicare and Medicaid Innovation.

States, cities, and mayors are fighting a census change that could affect Medicaid

April 5, 2018


A group of states and cities are suing the federal government over the Department of Commerce's decision to add a citizenship question to the census, arguing that the question could exacerbate undercounting of certain populations and jeopardize Medicaid and other population-based federal funding.

Legalized marijuana may lead to fewer opioid prescriptions, studies find

April 4, 2018


New research suggests opioid prescriptions dropped in states where medical marijuana is legal—suggesting some U.S. residents might use marijuana to treat their pain as an alternative to opioids.

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