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Topic: CMS

Lawsuit aims to overturn Medicare rules for “observation” care

Lawsuit aims to overturn Medicare rules for “observation” care

May 3, 2013 5:52 am by | 1 Comments

Hospitals don't have to tell patients they are under "observation" care and Medicare will not cover the costs of that care if the patient is not admitted. Patients who are ... Read more
Nevada hospital in trouble with CMS for discharge plans that include a one-way bus ticket

Nevada hospital in trouble with CMS for discharge plans that include a one-way bus ticket

April 26, 2013 7:31 pm by | 0 Comments

SAN FRANCISCO (Reuters) - Federal authorities have taken disciplinary action against a Las Vegas hospital cited for improperly sending newly released psychiatric patients by bus to neighboring California and other ... Read more
CMS expands Medicare savings program for durable medical equipment

CMS expands Medicare savings program for durable medical equipment

April 19, 2013 2:33 pm by | 0 Comments

After a successful two-year pilot in more than half a dozen major cities, the Centers for Medicare & Medicaid Services is expanding its competitive bidding program for durable medical equipment ... Read more
Federal government slashes New York’s Medicaid payments

Federal government slashes New York’s Medicaid payments

April 1, 2013 2:08 pm by | 0 Comments

NEW YORK (Reuters) - Federal authorities have dramatically lowered the amount that New York state can claim from the federal government for certain medical services, costing the state an estimated ... Read more
Do bariatric surgery restrictions improve outcomes?

Do bariatric surgery restrictions improve outcomes?

February 26, 2013 4:24 pm by | 0 Comments

NEW YORK (Reuters Health) - A Medicare policy limiting where people can undergo weight-loss surgery to so-called "centers of excellence" was not responsible for reducing complications from the procedures, according ... Read more

Medicare drug costs to fall in 2014, but donut hole widens

Medicare drug costs to fall in 2014, but donut hole widens

February 21, 2013 1:21 pm by | 0 Comments

CHICAGO (Reuters) - There will be good and bad news next year for seniors using Medicare's prescription drug program.Overall, enrollees can expect a year of flat or decreasing Medicare prescription ... Read more
Proposed 2014 Medicare Advantage rates cut insurer payments

Proposed 2014 Medicare Advantage rates cut insurer payments

February 19, 2013 10:10 am by | 0 Comments

(Reuters) - Proposed reductions in government payments for Medicare Advantage insurance plans - estimated at $11 billion by an insurance industry trade group - sent health insurer shares lower on ... Read more
State policies on Medicaid committee disclosure vary

State policies on Medicaid committee disclosure vary

February 13, 2013 4:30 pm by | 0 Comments

NEW YORK (Reuters Health) - No standard policy covers whether the state-level Medicaid committee members choosing which drugs and treatments the program pays for should disclose their ties to drug ... Read more
Hospital deaths and readmissions not linked: study

Hospital deaths and readmissions not linked: study

February 12, 2013 4:19 pm by | 0 Comments

NEW YORK (Reuters Health) - A measure used by Medicare to penalize hospitals for poor performance is not linked to how many patients die after being admitted, suggests a new ... Read more

Florida gets green light for Medicaid managed care

Florida gets green light for Medicaid managed care

February 5, 2013 6:16 am by | 0 Comments

TALLAHASSEE, -- Federal health officials have approved a key part of Florida's effort to transform its Medicaid program, clearing the way for tens of thousands of seniors across the state ... Read more
Research finds link between poor health and seniors switching out of private Medicare plans

Research finds link between poor health and seniors switching out of private Medicare plans

February 4, 2013 5:47 am by | 0 Comments

New research finds that many seniors who switch from their HMO-style Medicare Advantage plan to traditional Medicare have higher levels of significant health problems, fueling concerns that the private plans ... Read more
Tick, tock: Administration misses some health law deadlines

Tick, tock: Administration misses some health law deadlines

January 31, 2013 11:00 am by | 0 Comments

The Obama administration is late in implementing several provisions of the federal health overhaul intended to improve access to care and lower costs.The programs, slated to take effect Jan. 1, ... Read more
Kidney transplants resume at UTMC

Kidney transplants resume at UTMC

January 29, 2013 10:15 am by | 0 Comments

The University of Toledo Medical Center has resumed its kidney-transplant program, the university said Monday.University spokesman Jon Strunk said the first operation took place Thursday."We look forward to continuing all ... Read more
Long waits for consumers when Medicare is ‘secondary payer’

Long waits for consumers when Medicare is ‘secondary payer’

January 28, 2013 9:35 pm by | 0 Comments

Anyone who sues for personal injury probably knows that the process may take time. But for Medicare beneficiaries, too often it's not only the legal system that grinds slowly. Lawyers ... Read more
5 things you can do now to prepare for the Sunshine Act

5 things you can do now to prepare for the Sunshine Act

January 28, 2013 8:04 am by | 0 Comments

We’re about one month away from CMS providing its final guidance on the Physician Payment Sunshine Act (hopefully). And it’s about time! It’s been more than a year since CMS ... Read more