The federal government has fallen short in tracking spending on state health insurance marketplaces, dividing responsibility across multiple offices and creating confusion in the process, according to a report from the Government Accountability Office.
Even as the government claims preventable hospital readmissions have dropped, a dramatic increase in hospitals' use of observation status and emergency care in lieu of readmission suggests many providers are gaming the quality standards.
After a Centers for Medicare & Medicaid Services bundled payment pilot project saved $1 million its first year while strengthening outcomes, CMS announced 360 more providers will join the program.
The number of hospitals earning perfect scores on the Centers for Medicare & Medicaid Services' five-star scale doubled in a new round of ratings.
Physicians may soon be paid for end-of-life conversations with their patients under proposed changes to the 2016 Medicare Physician Fee Schedule--a move that could catch on with private payers, as well.
The Centers for Medicare & Medicaid Services this week proposed an amendment to the broadly unpopular "two-midnight rule" for patients' inpatient and outpatient status.
Clinical decision support systems can help reduce the number of orders for unnecessary imaging, but practical challenges remain when it comes to putting the tools to work in clinical settings, according to a study by the RAND Corp. published in of the Journal of the American Medical Association.
Newly released data from the Centers for Medicare & Medicaid Services show that Medicare reimbursements to doctors are far from evenly distributed, while hospital charges for top procedures and conditions have increased moderately.
Medicaid insurers would be required to provide the same mental health and substance abuse coverage to their members as private plans do under a new proposed rule from by the Centers for Medicare & Medicaid Services.
Quality Improvement Organizations generated nearly $1 billion in savings and prevented more than 44,000 adverse drug events over a three-year period, according to a Centers for Medicare & Medicaid Services' progress report.