The article discusses types of alleged health care fraud cases in the U.S. as of August 2015. Topics include prescription drug fraud schemes including billing for drugs not dispensed and illegal dispensing of ex...
According to Goldman, when Medicare payment rates fall, the ability of skilled nursing facilities to cross-subsidize Medicaid diminishes, triggering an industry-wide destabilization that threatens patient access to quality care. The federal Medicare cliff will reduce Medicare from the federal government, ...
Reports that a growing number of private health plans are girding to provide health benefits for seniors in pre-aid setting. Growth of the Medicare-risk market; Cost per member per month for Med...
MEDICAREMedicare was originally envisioned to include oral health care. But the opposition to its inclusion prevailed, and nearly 60 years since its enactment, older Americans struggle to afford needed dental care. An opportunity came and went to include provisions ...
In 2016, the Centers for Medicare & Medicaid Services (CMS) implemented the Service Intensity Add-on (SIA) payment for the Medicare Hospice Benefit. The SIA incentivizes direct patient care by registered nurses and medical social workers during the last seven days of life through additional ...
Have You Taken A Look at the Medicare Quarterly Provider Compliance Newsletters?BOERNER, CATHERINE M.Journal of Health Care Compliance
A recent Medicare bundled payment pilot program gives a single health care provider a financial incentive to keep total payments to all providers during a multidoi:10.2139/ssrn.3428049Nathan PetekWill ClarkJonas de SouzaHeidi GrahamDaniel Adelman...
Explains that the United States Congress has stated to tackle Medicare prescription drug benefit legislation. Pledge of the president of the Pharmaceutical Care Management Association to be active on t...
Reports on Senator Judd Gregg's `Choice Care' plan which aims to give all seniors fixed payments that they could use to buy the health insurance of their choice. Basis of payments in the plan; House...
A Look at Medicare Coverage for Audiology ServicesBallachanda, BopannaMurphy, TracyThomas, KateAudiology Today