Posts Tagged Medicare

CMS Issues Proposed Inpatient Rehabilitation Facility FY 2020 PPS Update

The Centers for Medicare and Medicaid Services (CMS) has released a proposed rule that would update the payment rates and quality reporting items for Inpatient Rehabilitation Facilities (IRFs) for Federal Fiscal Year 2020. CMS says that the overall economic impact of this proposed rule

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Study: Readmissions Penalties Shift When Adjusted for Social Risk Factor

Readmissions penalties for hospitals with the greatest share of dually eligible beneficiaries could fall by an estimated $22.4 million in fiscal year 2019, while penalties for hospitals with the least share of dually eligible patients could rise by $12.3 million, according to a study reported

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Senator Sanders Releases 2019 Medicare-for-All Bill 

Senator Bernie Sanders (I-VT) has released the 2019 version of his Medicare-for-All bill “to guarantee health care to every American as a right, not a privilege.” The Sanders’ legislation would fundamentally transform “the country’s dysfunctional health care system by eliminating profit-driven health insurance

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Study: Hospital Outpatient Clinics Treat Poorer, Sicker Patients than ASCs

Medicare patients who receive care in a hospital outpatient department clinic are more likely to be poor, previously hospitalized and have severe chronic conditions than those treated in an ambulatory surgical center, according to a study by KNG Health Consulting released April 4

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White House Releases FY 2020 Budget Proposal

President Trump recently submitted to Congress his budget request for fiscal year 2020. The budget request, which is not binding, proposes hundreds of billions of dollars in reductions to Medicare and Medicaid over 10 years.The budget request also contains a number of provisions related to drug pricing, opioids

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Study: Medicare Public Option Proposal Could Hurt Patients, Hospitals

Creating a government-run, Medicare-like option on the individual health insurance exchanges could negatively affect patient access to care and reduce hospital payments by nearly $800 billion over 10 years, according to a study by KNG Health Consulting released by the American Hospital Association (AHA) and

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CMS Updates Medicare, Medicaid Drug Spending Dashboards

The Centers for Medicare & Medicaid Services have updated its Medicare and Medicaid drug spending dashboards with 2017 data. The dashboards show trends in average spending per dosage unit for prescription drugs paid under Medicare Parts B and D and Medicaid, drugs with limited to

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Mobile App Lets Consumers Find What Original Medicare Covers

The Centers for Medicare & Medicaid Services recently released a mobile app that shows whether fee-for-service Medicare covers a specific medical item or service. The agency said consumers and others can use the “What’s Covered” app to get coverage information from the doctor’s

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AHA: Medicare, Medicaid underpaid hospitals by $76.8 billion in 2017

Medicare and Medicaid underpaid U.S. hospitals by $76.8 billion in 2017, according to the latest data from the American Hospital Association’s Annual Survey of Hospitals. Underpayment occurs when the payment received is less than the costs of providing care, that is, the amount paid by

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Congress Passes Farm Bill; House Ways and Means Committee Bill Introduced

Congress returned from observing the passing of President George H.W. Bush to work on the federal budget and last minute items. They passed a farm bill conference report that authorizes assistance for rural hospitals to refinance a debt obligation as an eligible loan or loan

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