Category: FierceMarkets

The Department of Health and Human Services did not comply with federal regulations when it came to former HHS Secretary Tom Price’s government-related travel, according to an audit released on Friday. Here are the details.

CMS issued a proposed rule yesterday that makes what officials called “historic changes” to the Medicare program, including changes to E&M documentation requirements, new telehealth reimbursement opportunities and changes to the MIPS program.

A new analysis from Avalere shows Medicare Advantage patients have fewer inpatient stays, ER visits and avoidable hospitalizations than fee-for-service beneficiaries, despite higher rates of social and economic risk factors.

Lots of factors are at play when it comes to high healthcare costs. But doctors are sure of one thing: They aren’t to blame.

Patients are at a higher risk of receiving surprise medical bills, as a new study found more health plans on the ACA insurance exchange markets offer restrictive networks.

During a 30-minute Q&A session with reporters on Thursday morning, the CMS administrator also said states should continue to expect “flexibility” despite a Kentucky court ruling limiting its Medicaid work requirements rules.

Both Republicans and Democrats proposed amendments during an appropriations markup on Wednesday to address the concern of migrant children being separated from their parents at the border.

Combined with Kindred at Home, the acquisition will create the country’s largest hospice provider, of which Humana will own 40%.

A GAO report that concluded HRSA has failed to audit 340B sufficiently generated strong sentiments on both sides of the aisle as lawmakers grappled with how to provide more oversight to the program.

Key Benefit Administrators claims Teladoc notified them of the overcharge due to an accounting error but attempted to reconfigure the refund so it wouldn’t negatively affect their financial statements.