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Medicare

Latest Headlines

Latest Headlines

Lawsuit seeks reversal of CMS amyloid reimbursement policy

A lawsuit has been filed in federal court against the Centers for Medicare & Medicaid Services in an effort to get it to change its policy regarding Medicare reimbursement for the use of PET beta-amyloid scans to detect Alzheimer's disease.

More evidence supports Medicare coverage of LDCT screening

A secondary analysis of the National Lung Screening Trial has found that low-dose lung cancer screening is actually more effective for older high-risk patients than it is for younger ones, according to a study in the  Annals of Internal Medicine.

Why CMS should reimburse for secondary imaging interpretations

The comment period for the 2015 Medicare Physician Fee Schedule proposed rule ended last week and radiology and imaging-related organizations expressed their concerns about a number of issues, such as the potential for significant reimbursement reductions in radiation oncology services. One area of particular interest to these organizations has to do with the payment for the secondary interpretation of images.

Study: Low Dose CT lung cancer screening saves lives, cuts costs

Low-dose CT lung cancer screening is cost-effective and saves lives, according to a new study in  American Health and Drug Benefits.

8 cities with the highest hospital readmission rates

Medicare's 2014 comprehensive  measure  of hospital readmissions show that 364 hospitals across the country, in states such as Illinois, Maryland, Massachusetts, New Jersey, New York and Rhode Island have higher hospital readmission rates than the national average.

New proposed ACA-alternative plan calls to 'repeal and replace'

In the words of those who oppose the Affordable Care Act, "the U.S. healthcare system is in need of substantial reform."  This statement comes from the latest installment of proposals to the healthcare reform law. In his "Transcending Obamacare: A Patient-Centered Plan for Near-Universal Cover and Permanent Fiscal Solvency," Senior Fellow at the Manhattan Institute and Opinions Editor at  Forbes  Roy Avik's report highlights the "repeal and replace" approach.

Will Medicare reimburse end-of-life planning?

As  predi cted, the  American M edical Association  issued recommendations for Medicare to cover end-of-life discussions with patients, a change that could prompt physicians to initiate these conversations more often, according to an  arti cle  from the  New York Times.

Home care benefits drive losses and gains

Medicare and Medicaid in-home care made news last week in stories showing that the same service setting can drive program dollar losses or savings depending on providers and patients involved.

CMS offers to settle disputed short-term hospital claims

The Centers for Medicare & Medicaid Services will end the long wrangling with hospitals over short-term inpatient stays.

Another Pioneer ACO drops out of program

Sharp HealthCare in San Diego dropped out of the Medicare Pioneer accountable care organization program, citing fundamental flaws in the program, according to the company's third quarter financial statement.