Category: CMS

Record Number Of Legionnaires’ Cases In 2018 Risk Lives, Cause Cleanup Headaches

Legionnaires’ disease cases hit an all-time high in 2018, with eight times more cases than 20 years ago. Even though many facilities in Missouri and elsewhere have water management plans in place to deal with the potentially deadly disease, they are still finding the underlying bacteria that causes it in their water.

Obamacare’s Star Ratings Offer A Glimmer Of Insight ― But Not For All

Federal officials unveil new ratings for the Affordable Care Act’s marketplace plans. Missouri is one of eight states that has no plans earning at least three stars on a five-star scale.

‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed

In what experts call an “epidemic of immobility,” older hospital patients remain stuck in bed, their movements tracked by loud and ineffective bed alarms, losing muscle mass that’s key to their health and daily functioning.

As Medicare Enrollment Nears, Popular Price Comparison Tool Is Missing

For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.

Tenn. Block Grant Experiment Would Boost Federal Funding, State Medicaid Chief Says

In a Q&A with Kaiser Health News, Tennessee Medicaid Director Gabe Roberts says state officials are requesting a modified block grant from federal officials because it would save money and allow the state to keep some of that savings.

KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.

Why Red Wyoming Seeks The Regulatory Approach To Air Ambulance Costs

Wyoming is taking on expensive air ambulance bills by trying to expand Medicaid to cover transport for all patients. This is a big change: a red state seeking to control what’s been a growing free-market bonanza.

Trump Administration Hits Brakes On Law To Curb Unneeded Medicare CT Scans, MRIs

Critics worry the delays come at a steep cost: Medicare paying for millions of unnecessary exams and patients subject to radiation for no medical benefit.

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.