Category: Modern Healthcare

To the dismay of many policy experts and entities like the Medicare Payment Advisory Commission, updates to the fee schedule have benefited procedure-oriented specialties at the expense of primary-care doctors.

After a major provider agreed to stay in Iowa’s troubled Medicaid program, a top aide to Gov. Kim Reynolds quietly signed a deal letting its hospitals and clinics keep $2.4 million in mistaken overpayments, according to records.

An Oregon proposal to expand alternative treatments for certain chronic pain conditions while limiting the use of opioids has moved forward with minimal changes, despite outcries from chronic pain patients and criticism from pain experts.

Little River Healthcare, a bankrupt Texas provider involved in what appeared to be a lab billing scheme, has officially closed its hospitals and clinics after its petition lender declined to continue to meet its funding requests.

Apple Watch is now fulfilling its promise to let people take EKGs of their heart and notify them of any irregular heartbeat.

John O’Brien will serve as senior adviser for drug pricing reform to HHS Secretary Alex Azar.

New York City Health & Hospitals said it could see a loss of up to $362 million in the first year alone if proposed changes to the public charge rule are enacted.

The CMS didn’t risk-stratify hospitals by peer groups based on their dual-eligible population as it currently does in the Hospital Readmissions Reduction Program. That can earn hospitals low ratings for caring for poor and chronically ill patients.

New Hampshire’s new Democratic legislative leaders are criticizing the CMS for revising the state’s proposed Medicaid work requirement program without the state asking for the changes.

The vendor did not say how many people were laid off, only that the layoffs were part of an effort to correctly assign resources to its projects.