A number of internal promotions and a few staff acquisitions from a Health and Human Services’ insurance unit highlight a series of leadership changes at the Centers for Medicare & Medicaid Services,...
Controversial Medicare auditors group changes name, website
By
John Hall
Mar 02, 2015
A Medicare payment watchdog group saddled with huge case backlogs and heavily criticized for causing delays in resolving reimbursement issues has changed its name and location on the web.
FDA approves ‘breakthrough’ therapy for diabetic eye disorder
By
John Hall
Mar 26, 2015
The FDA announced Wednesday that it has granted “breakthrough therapy designation” to the drug Eylea, and expanded its approved use for the treatment of diabetic retinopathy in patients with...
NH nursing home owners fighting back against cuts
By
John Hall
Feb 05, 2015
New Hampshire’s nursing homes, which have been on the block since 2015 dawned for a potential $7 million payment cut, are now fighting back.
CMS actuary throws cold water on ‘doc fix’ bill projections
By
John Hall
Apr 12, 2015
Long-term care leaders who have widely endorsed a House proposal to permanently “fix” the Sustainable Growth Rate formula, might be suffering buyer’s remorse after learning Friday that...
Providers ponder prospect of Supreme Court killing Obamacare
By
John Hall
Feb 26, 2015
Individuals struggling to make ends meet and long-term care providers relying on a solvent Medicaid program could be on opposite ends of the verdict when the U.S. Supreme Court begins deliberations on...
RAC groups battle provider plea for short-stay payment relief
By
John Hall
Feb 19, 2015
Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter...
Providers fuming after MedPAC calls for cancellation of Medicare pay raise
By
John Hall
May 21, 2015
The nursing home industry’s largest trade group is pushing back hard against MedPAC’s recommendation that the Centers for Medicare & Medicaid Services forego its planned request for $500 million...
Providers testify against post-acute bundled pay bill at hearing
By
John Hall
Apr 17, 2015
A top nursing home advocate on Thursday urged killing a bill calling for the bundling of Medicare payments for post-acute care services.
Medicare auditors exaggerating predictions of insolvency, providers say
By
John Hall
Mar 12, 2015
Recovery audit contractors continue to bemoan an audit moratorium and are now saying it is contributing to dire predictions about Medicare program solvency. A RAC group says that General Accountability...