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.
“Medicare-for-all” makes a good first impression, but support plunges when people are asked if they’d pay higher taxes or put up with treatment delays to get it.
The penalties will be as much as 2 percent of Medicare reimbursements, and could be worth millions of dollars to large nursing-home chains with locations spread across Indiana and the nation.
Indiana hospitals are racking up millions of dollars in penalties for having too many patients return for care within a month of discharge.
The Trump administration said Thursday it will allow states to require "able-bodied" Medicaid recipients to work, a hotly debated first in the enormous program's half-century history.
Alex Azar, a former Eli Lilly and Co. executive, acknowledged to the Senate Finance Committee that drug prices are too high and said he'd work to lower them if confirmed as secretary of Health and Human Services.
Whether so-called micro-hospitals can succeed financially might depend on whether they can meet Medicare’s definition of a hospital: a medical facility that dedicates the bulk of its services to inpatient care.
Searching for stability, big insurers such as Indianapolis-based Anthem Inc. are focusing on Medicare Advantage, a politically popular program embraced by a growing population of older Americans.
Indiana health care consultant Seema Verma, a protege of Vice President Mike Pence, was approved by a 55-43 vote, largely along party lines. She'll head the Centers for Medicare and Medicaid Services, a $1 trillion agency.
Indiana health care consultant Seema Verma was approved by the Finance Committee on a 13-12 party-line vote.
Indiana health care consulting executive Seema Verma on Thursday testified before the Senate Finance Committee on her nomination to lead the Centers for Medicare and Medicaid Services, or CMS.