A new government report claims that Medicare overpaid Rush University Medical Center by $10.2 million, and the agency wants the money back.
When Medicaid pays doctors less money for the care they provide, new patients have limited access to primary care appointments, a new study found.
Five success factors for accelerating innovation through strategic partnerships.
CMS has issued a proposed rule that would update the Medicare Advantage and Part D programs.
Centene has promoted Cynthia Brinkley to the role of president and chief operating officer.
The OIG plans to review Medicaid telehealth payments to gauge compliance with reimbursement requirements, citing a significant increase in claims.
SynerMed, a company that manages physician practices serving Medicaid and Medicare patients across California, is planning to shut down.
In 2017, the improper payment rate for fee-for-service Medicare dropped to 9.5%—the first time since 2013 that figure has been below 10%.
The federal government’s unpaid balance for the Affordable Care Act risk corridor program has now ballooned to $12.3 billion.
Humana continues to see better cost and quality results from providers involved in its Medicare Advantage value-based payment models.
Researchers at Stanford University have identified six factors that define high-value practices.