Category Archive: CMS

Medicare Advantage Overbills Taxpayers By Billions A Year As Feds Struggle To Stop It

An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Medicare Going In ‘Right Direction’ On Opioid Epidemic

A new report by the inspector general for HHS shows prescriptions to treat opioid addiction are way up in recent years, while prescriptions for the painkillers have fallen.

How To Get A Cheaper Prescription Before Leaving The Doctor’s Office

A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Robin Hood To Rescue Of Rural Hospitals? New Math Promised On Medicare Payments

A proposed adjustment to the wage index, used in setting a hospital’s Medicare reimbursement payments, could be a lifeline for some rural facilities.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Hospitals Chafe Under Medicare’s New Payment Rule For Off-Campus Clinics

Under the rule that took effect this year, Medicare will lower payments for clinic visits performed at hospital-owned facilities to a rate that is equivalent to what it pays an independent doctor. Federal officials expect the move will save the government $380 million this year.

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