Office of Inspector General (OIG) at the Department of Health and Human Services (HHS) released on February 9, 2009 about dual payments under Medicare and Medicaid for services offered by skilled nursing facilities and home heal...
Researchers gathered data on Medicare and Medicaid DSH payments to determine whether the payments made to hospitals in disproportionately Black counties were aligned with the financial and healthcare needs of the populations they serve. The data was obtained from the 2019 Healthcare Cost...
Medicare patients' use of overpriced procedures before and after the Omnibus Budget Reconciliation Act of 1987. J J Escarce, Am J Public Health, 2011 Medicaid physician payment reform: using the Medicare Fee Schedule for Medicaid payments. A L Reisinger, Am J Public Health, 2011 Do readmission...
Medicare and its means-tested sibling,Medicaid, are the only forms of health coverage for millions of Americans today. They represent some of the most successful social insurance programs ever, serving tens of millions of people including older adults, younger beneficiaries with disabilities, and thos...
Background: The Center for Medicare and Medicaid Innovation launched the Bundled Payments for Care Initiative (BPCI) in 2013. Its effect on payments and outcomes for percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) is unknown. Methods and Results: We used Medicare...
While the ACA has worked to expand both federal funding and eligibility for Medicaid, the U.S. Supreme Court ruled that states are not required to participate in the expansion in order to receive their current level of Medicaid funding. As a result, many states have chosen not to expand fun...
Overcoming challenges to achieving meaningful use: insights from hospitals that successfully received Centers for Medicare and Medicaid Services payments i... In an effort to understand better the federal electronic health record (EHR) incentive programme's challenges, this study compared hospitals that ...
Targeting assistance to those with limited means requires consideration of how eligibility will be determined and whethe... M Moon - 《Urban Institute》 被引量: 8发表: 2002年 Rule-Based Prediction of Medical Claims' Payments: A Method and Initial Application to Medicaid Data Imperfections in ...
Centers for Medicare & Medicaid Services (CMS) is paying for health care through alternative payment models (APMs), which reward value and quality. Presently, more than 20% of Medicare fee-for-service payments flow through APMs. The APMs include accountable care organizations (ACOs), bundled ...
According to the U.S. Centers for Medicare and Medicaid Services (CMS), Medicare enrollees will have access to an average of 15 stand-alone Part D plans per region in 2025.2 You can also getMedicare Advantagefrom a private insurance company. These plans typically include Medicare Part D, Part...