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In a Q&A with Kaiser Health News, Tennessee Medicaid Director Gabe Roberts says state officials are requesting a modified block grant from federal officials because it would save money and allow the state to keep some of that savings.
The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.
Wyoming is taking on expensive air ambulance bills by trying to expand Medicaid to cover transport for all patients. This is a big change: a red state seeking to control what's been a growing free-market bonanza.
Critics worry the delays come at a steep cost: Medicare paying for millions of unnecessary exams and patients subject to radiation for no medical benefit.
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
A new report by the inspector general for HHS shows prescriptions to treat opioid addiction are way up in recent years, while prescriptions for the painkillers have fallen.
A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
A proposed adjustment to the wage index, used in setting a hospital’s Medicare reimbursement payments, could be a lifeline for some rural facilities.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
In its latest update to the Nursing Home Compare website, the government gave 1,638 homes its lowest star rating for staffing — one star on its five-star scale. Most were downgraded because payroll records reported no registered-nurse hours at all for at least four days.
Use this tool to see staffing levels at skilled nursing homes in the U.S.
Under the rule that took effect this year, Medicare will lower payments for clinic visits performed at hospital-owned facilities to a rate that is equivalent to what it pays an independent doctor. Federal officials expect the move will save the government $380 million this year.
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
Work helps make people healthier, CMS chief Seema Verma said in approving Utah’s waiver request to tie government health benefits to employment or volunteer work. But Judge James Boasberg has said that isn’t the goal of Medicaid.
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.
The U.S. government claimed that turning American medical charts into electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the system is an unholy mess. Inside a digital revolution that took a bad turn.
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