Category: Medicare and Medicaid

Medicare Overhaul to Favor More ACOs

The U.S. Department of Health & Human Services (HHS) announced Monday new, historic goals that encourage quality over quantity of Medicare-based care.  Part of that goal centers around more Accountable Care Organization (ACO) participation as well as bundled payments that will help identify higher quality partners, Read More »

Inspector General: Hospices Incentivized To Work In Assisted Living

Hospices that provide care in assisted living facilities (ALFs) have a greater monetary incentive to do so than those that don’t, a recent study from the Office of Inspector General (OIG) finds. Medicare payments for hospice care in ALFs more than doubled in five years, Read More »

Medicare Chief Resigns With ‘Mixed Emotions’

Centers for Medicare and Medicaid Services (CMS) Administrator Marilyn Tavenner is leaving the agency at the end of February, the Medicare chief announced Friday. “Tavenner wrote in an email that she left with ‘sadness and mixed emotions’ but that she has ‘great pride and joy Read More »

Why CMS’ Reimbursement System Has a Long Way to Go

Medicare payment accuracy has steadily eroded since 2006,  according to a new report jointly produced by the Medicare Payment Advisory Commission and the Urban Institute. The study compares the relationship between skilled nursing facility (SNF) payments and costs over time to assess whether changes the Centers for Medicare & Read More »

Long-Term Care Facilities Must Recognize Same-Sex Spousal Rights

Long-term care facilities participating in Medicare and Medicaid may soon be required to recognize the rights of same-sex spouses regardless if their state has validated the marriage, according to a recently proposed rule by the Centers for Medicare & Medicaid Services (CMS). “These revisions would promote Read More »

Health Care Spending Growth At 53-Year Low

Americans’ health care spending is following a pattern of slow growth, between 3.6% and 4.1% for five consecutive years, according to  new data from the Office of the Actuary (OACT) at the Centers for Medicare & Medicaid Services (CMS). And it grew more slowly last year than at Read More »

CMS Proposes New Rule To Boost ACO Success

The Centers for Medicare & Medicaid Services (CMS) proposed a new rule Monday that aims to improve incentives to participate in Accountable Care Organizations (ACOs). The changes would update and improve policies governing the Medicare Shared Savings Program (Shared Savings Program) by targeting several program areas including Read More »

America’s Senior Care Gets Low Marks Versus Global Peers

When it comes to affording and receiving much-needed health care, older Americans are in worse shape compared to some of the world’s leading nations, according to the results from a new international survey. In the U.S., adults age 65 and older are sicker and more Read More »

Alzheimer’s Costs Expected to Quintuple as Boomers Age

It’s no secret that an aging baby boomer population carries huge cost implications for the nation’s health care system. And when it comes to dementia care, treating diseases like Alzheimer’s will cause those costs to skyrocket, according to new research from the University of Southern California Read More »

Harvard Study Finds ACOs Lead to Better Health Care

It’s the formula health care reforms have been drumming up since the passing of the Affordable Care Act: organizations that play together, report higher satisfaction in delivery of care services, according to recent research from the Harvard Medical School Department of Health Care Policy.  And for Read More »