Orlando Regulatory

Some Doctors, Patients Balk At Medicare's 'Flat Fee' Payment Proposal

Aug 02, 2018 at 08:11 pm by Staff

.   Martha Bebinger, WBUR, Kaiser Health News The Trump administration announced a plan Friday that would affect about 40 percent of the payments physicians receive fr.... Read More

Medicare Reconsiders Paying For Seniors' Spine Operations At Surgery Centers

Jul 30, 2018 at 10:08 pm by Staff

.   Christina Jewett, Kaiser Health News Medicare is reviewing whether seniors should undergo spine surgeries at same-day surgery centers, the government-run health pr.... Read More

1,400 Nursing Homes Get Lower Medicare Ratings Because Of Staffing Concerns

Jul 30, 2018 at 10:02 pm by Staff

  Jordan Rau, Elizabeth Lucas, Kaiser Health News Medicare has lowered its star ratings for staffing levels in 1 in 11 of the nation's nursing homes -- almost 1,400 of.... Read More

CMS proposes Medicare Hospital Outpatient Payment and Ambulatory Surgical Center Payment Changes

Jul 27, 2018 at 04:15 pm by Staff

. On July 25, 2018, the Centers for Medicare & Medicaid Services (CMS) proposed changes that would encourage site-neutral payment between sites of services and mak.... Read More

In Florida, Midterm Elections Hold Faint Hope For Medicaid Expansion

Jul 16, 2018 at 03:15 pm by Staff

Phil Galewitz, Kaiser Health News Can the deep-red Florida Statehouse follow Virginia and expand Medicaid? Highly unlikely anytime soon, many state political analysts say. I.... Read More

Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

Jul 15, 2018 at 05:34 pm by Staff

  Chad Terhune, Kaiser Health News   Despite receiving billions of dollars in taxpayer money, Medicaid insurers are lax in ferreting out fraud and neglect to tell.... Read More

CMS Announces Initiatives to Strengthen Medicaid Integrity

Jul 01, 2018 at 01:30 pm by Staff

. Agency actions will help ensure the sustainability of vital safety net program for all beneficiaries The Centers for Medicare and Medicaid Services (CMS) announced new and.... Read More

CMS Advances Demonstration to Waive MIPS Requirements for Clinicians in Certain Plans

Jun 30, 2018 at 01:28 am by Staff

. Today, the Centers for Medicare & Medicaid Services (CMS) is advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration, which, when.... Read More

Healogics Agrees To Pay Up To $22.51 Million To Settle False Claims Act Liability for Improper Billing of Hyperbaric Oxygen Therapy

Jun 23, 2018 at 10:55 pm by Staff

. The Justice Department has announced that Healogics, Inc. has agreed to pay up to $22.51 million to settle allegations that it violated the False Claims Act by knowingly cau.... Read More

Administration Eases Way For Small Businesses To Buy Insurance In Bulk

Jun 21, 2018 at 05:17 pm by Staff

.   Jay Hancock, Julie Appleby, Kaiser Health News Small employers will more easily be able to band together to buy health insurance under rules issued Tuesday by the.... Read More

As Medicaid Costs Soar, States Try A New Approach

Jun 16, 2018 at 04:49 pm by Staff

. Phil Galewitz, Kaiser Health News MINNEAPOLIS -- Sandy Dowland has been to the emergency room 10 times in the past year and was hospitalized during four of those visits. She.... Read More

Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home Patients

Jun 14, 2018 at 06:36 pm by Staff

.   Jordan Rau, Kaiser Health News Photos by Heidi de Marco   "Oh my God, we dropped her!" Sandra Snipes said she heard the nursing home aides yell as she fell.... Read More

Verma Unveils State Medicaid Scorecard But Refuses To Judge Efforts

Jun 10, 2018 at 08:15 pm by Staff

.   Phil Galewitz, Kaiser Health News The Trump administration Monday released a Medicaid "scorecard" intended to show how the nation's largest health program is perfo.... Read More

Could California Shape The Fate Of The Affordable Care Act In November?

Jun 10, 2018 at 08:05 pm by Staff

.   Chad Terhune, Pauline Bartolone, Ana B. Ibarra, Kaiser Health News and Alex Leeds Matthews In the state that's leading the opposition to many of President Donald T.... Read More

Medicare Financial Outlook Worsens

Jun 10, 2018 at 07:55 pm by Staff

. Phil Galewitz, Kaiser Health News Medicare's financial condition has taken a turn for the worse because of predicted higher hospital spending and lower tax revenues that f.... Read More

Administration Challenges ACA's Preexisting Conditions Protection In Court

Jun 10, 2018 at 07:15 pm by Staff

. Julie Rovner, Julie Appleby, Kaiser Health News The Trump administration is refusing to defend key parts of the Affordable Care Act, essentially arguing that federal court.... Read More

HHS To Allow Insurers' Workaround On 2019 Prices

Jun 07, 2018 at 08:38 pm by Staff

  Julie Rovner, Kaiser Health News Federal officials will not block insurance companies from again using a workaround to cushion a steep rise in health premiums caused.... Read More

Mitigating Florida's Opioid Crisis

Jun 07, 2018 at 07:30 pm by Staff

. PL JETER Florida lawmakers hope new rules governing controlled substances will mitigate the damaging effects of the opioid crisis. Because understanding the 160-ish page H.... Read More

Medicare Advantage Plans Adapt to CMS Changes -- Providers Play Important Role

May 30, 2018 at 11:36 pm by Staff

By Jay Baker When CMS released the 2019 Medicare Advantage and Part D Rate Announcement and Call Letter, it sent a signal to MA plan leaders that the time is now to get a be.... Read More

Opinion: CMS Plan for 'Direct Primary Contractors' Will Confuse Public and Compromise True DPC Clinics

May 29, 2018 at 02:38 pm by Staff

. Patient privacy advocate Citizens' Council for Health Freedom (CCHF) has spoken out about the Centers for Medicare & Medicaid Services' (CMS) potential plan to wrap dire.... Read More