The projected recoveries to the federal government from fraud-related audits and investigations are expected to rise 33% — or by $1.7 billion — in fiscal 2012, the Department of Health and Human Services...
Report proposes changes to streamline care for dual eligibles
Aug 29, 2011
Elderly dual eligibles, those individuals that receive Medicare and Medicaid benefits, are at risk for experiencing substantial drops in care when moving between Medicare and Medicaid coverage, a new report...
CMS finds group to conduct recovery audits
Jun 03, 2011
The Centers for Medicare & Medicaid Services has hired a contractor to conduct recovery audit functions on Medicare Part D drug plan, according to the Bureau of National Affairs.
Health insurer proposes plan for dual eligibles
Oct 18, 2010
Enrolling those dually eligible for Medicare and Medicaid in managed-care plans could save the United States up to $1.62 trillion over the next 25 years, according to health insurance giant UnitedHealth...
Kaiser: Long-term care accounts for nearly one-third of all Medicaid spending in the United States
Apr 17, 2009
Long-term care consumed more than a third of the $320 billion spent on Medicaid services during fiscal year 2007, according to a Kaiser Family Foundation report.
Orszag: Medicare, Medicaid cuts key part of overall spending reductions
Jan 15, 2009
Peter Orszag, who is director-designate of the White House Office of Management and Budget, discussed the need for Medicare and Medicaid spending reductions at his Senate confirmation hearing Tuesday.
MedPAC to recommend that Congress alter hospice reimbursement system
Jan 13, 2009
Medicare should pay a hospice more per day when a beneficiary enters the system and less as the beneficiary’s stay increases in length, Medicare Payment Advisory Commission officials said recently.
Woman pleads guilty in Medicare genetic testing scheme targeting seniors
By
Elizabeth Newman
Dec 05, 2016
As interest in genetic testing rises, one woman faces 10 years in prison for a $1 million Medicare fraud scheme that lured seniors into unnecessary genetic testing.
New pilot program would expand at-home health services
Oct 03, 2008
Some Medicare beneficiaries with multiple chronic conditions could soon benefit from expanded at-home health services under a newly proposed, 26-state pilot program.
Proposed CMS rule could give some nursing homes extra time to install sprinklers
By
McKnight's Staff
Feb 06, 2013
Some nursing homes may be able to get a two-year extension on a requirement to install an automatic sprinkler system, under a rule proposed Monday by the Centers for Medicare & Medicaid Services.