Subpar provider enrollment screening processes continue to plague Medicare and Medicaid, leaving both programs vulnerable to fraud and contributing to nearly $90 billion in improper payments in 2015, according to testimony during a House subcommittee hearing.
I'm not sure what to make of 86-year-old William Hager, who almost certainly will spend what remains of his days behind bars for shooting and killing his 78-year-old wife. He claimed the couple...
Several strategic business decisions, including a restructuring that capitalized on a growing healthcare market, transformed UnitedHealth Group from a small healthcare IT company to the largest insurer in the country with nearly $160 billion in revenue, according to the Minneapolis Star Tribune.
It is actually safer and less expensive to undergo some common surgical procedures at critical access hospitals, according to a new study published in the Journal of the American Medical Association.
Last week, Democratic presidential candidate Hillary Clinton made a surprising tweak to her position on healthcare, advocating for a buy-in program that would allow people 50 and older to purchase insurance through Medicare. In order for a "Medicare-for-more" program to succeed, policy makers have to take a proactive approach towards Medicare's inflated improper payment rate, rather than treating it as an afterthought.
While it generally complied with federal improper payment reporting requirements, the Department of Health and Human Services fell short in several key areas, according to an independent audit conducted by Ernst & Young LLP.
The American Hospital Association has praised the proposed Part B drug cost savings demonstration project, but believes a federal agency should narrow its scope.
Increasing Medicare's eligibility age from 65 to 67 would lead to a 30 percent spike in healthcare spending across the country thanks to wide price discrepancies between Medicare and private insurers, according to a new study published in Health Affairs.
Calculation errors regarding the wages paid by a tiny 19-bed hospital in Massachusetts could wind up having an outsized impact on the Medicare payments given to the other acute care providers statewide, The Boston Globe reported.
Lack of a competitive bidding process in Medicare Advantage costs the government billions in overpayments. But plans to introduce it are probably doomed, according to a New York Times columnist....