A new study released Friday by the Rand Corp. found that Hoosiers covered by employer health plans paid Indiana hospitals three times what Medicare would have paid for the same procedures, exceeding the national rate of disparity.
Feds accuse Community Health of submitting false claims to Medicare
The Justice Department said the financial arrangements were outlined in a whistleblower suit brought by Thomas Fischer, who served as Community Health’s CFO from 2005 until his sudden exit in 2013. In a separate suit, Fischer claimed he was fired in retaliation for questioning possibly illegal practices.Read More
A Health and Human Services Department official called the report on Seema Verma a “political smear” by “far left politicians.” Before she headed to Washington, Verma was a consultant to former Gov. Mike Pence and designed the Healthy Indiana Plan.
Indiana’s weakest and often smallest hospitals, usually with just a few dozen beds, might be only months from beginning the process of shutting their doors, industry leaders say.
Twenty-four Indiana hospitals will be docked by the Centers for Medicare & Medicaid Services—the highest number since the program began six years ago.
The legislation has no chance of passing the Republican-controlled Senate, and the White House has issued a veto threat. Still, Democrats saw a victory in the message their bill sends to voters.
As a hammer to force companies to negotiate, House Speaker Nancy Pelosi would impose steep sales taxes on the medications at issue. Overall, budget analysts estimated the legislation would cut industry revenues by $500 billion to $1 trillion over 10 years.
As open enrollment goes into the home stretch Thanksgiving week, critics say the new tool can create confusion by obscuring out-of-pocket costs that seniors should factor into their decisions.
President Trump is instead backing a bipartisan bill that would for the first time limit what seniors have to pay out of their own pockets for medications.
Presidential candidate Elizabeth Warren’s plan is built on transferring to the government 98% of the $8.8 trillion she estimates that employers will spend on private insurance for their employees.
President Donald Trump and House Speaker Nancy Pelosi could hardly be more at odds—but behind the scenes, they’re still grasping at a bipartisan deal to lower the cost of prescription drugs.
The regulations are now seen as an obstacle to progress because Medicare has put a premium on coordination among care providers. The complex requirements of the original rules can have a chilling effect on hospitals and doctors working together, officials say.
While the price of almost any good or service can be found online, most Americans don’t know what they’ll owe for a prescription medication until they get it.
The treatment costs $375,000 or $475,000, depending on whether it is used for advanced lymphoma or pediatric leukemia. Hospital stays can add hundreds of thousands of dollars to the cost of care.
A prescription drug compromise that would lower costs for Medicare recipients and save billions for Medicare and Medicaid cleared a key hurdle in the Senate on Thursday.
Iowa Republican Charles Grassley and Oregon Democrat Ron Wyden said the bill would for the first time limit drug copays for people with Medicare’s “Part D” prescription plan, by capping patients’ out-of-pocket costs.
The Trump administration’s top Medicare official used an annual report on the program’s fiscal outlook to attack proposals by some Democrats to expand government health-care coverage to all Americans.
Federal agents on Tuesday broke up a billion-dollar Medicare scam that peddled unneeded orthopedic braces to hundreds of thousands of seniors.
Verma, a protege of Vice President Mike Pence and the architect of Indiana’s Medicaid expansion, appears to have steered agency money to political allies in an effort to boost her reputation, prominent Democrats say.