Confirming Eligibility of ACA Medicaid Enrollees ‘Top Priority’ of Administration
April 13—Amid a recent finding that three states spent more than $1 billion on enrolling ineligible Medicaid beneficiaries, the Trump administration is prioritizing the verification of eligibility among the 11 million who were added to the Medicaid rolls through healthcare reform.
April 16-20 Policy Watch: Meeting Focuses on Advance Care Directives
April 12—Advance care planning (ACP) will be a focus next week as part of National Healthcare Decisions Day. The initiative aims to educate the public and providers about the need for ACP and its eligibility to be billed under Medicare.
Are ACOs Saving Medicare Money?
April 10—Whether accountable care organizations (ACOs) save money for Medicare has emerged as a key question because it could determine how hard regulators push participating providers to take on downside risk.
Can Maryland Hospital Price-Setting Serve as a National Model?
April 10—Hospitals may have reasons to support a shift to a global budget model like the one used in Maryland, some healthcare policy leaders say.
MedPAC Recommends $250 Million ED Cut
April 9—Medicare should cut payment rates for many emergency departments (EDs) by 30 percent, Congress’s leading Medicare advisory panel recommended this week.
Removal of CMS Regulatory Language May Leave Providers Vulnerable on EFT Fees
April 6—Some healthcare providers are fretting over the disappearance of a section on the Centers for Medicare & Medicaid Services (CMS) website that prohibits fees on provider payments made through electronic funds transfers (EFTs), saying the absence of such language could allow third-party administrators to short their income.
April 9-13 Policy Watch: CMS Tells Providers to Prepare for New Medicare Cards
April 6—Providers will start to see new identification cards presented this month by Medicare enrollees, and that may require action steps.
FFS Medicaid Most Challenging for Billing: Study
April 4—One of the first direct comparisons of billing complexities between various types of payers found that Medicaid fee-for-service (FFS) programs were the most challenging for providers.
Medicare Advantage Rates, Policies Draw Insurer Praise
April 3—Medicare Advantage (MA) plans received an unexpected pay boost and generally beneficial policies in the final call letter and rules issued this week for 2019.
LTCH Pay Change to Cover Less than Half of Costs: Analysis
April 2—An ongoing Medicare payment change will cover less than half of the costs of care for long-term care hospital (LTCH) patients who are subject to it, according to a new analysis.