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Medicare Prepares To Go Forward With New Hospital Quality Ratings

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The government will soon give hospitals one to five stars to sum up their quality. Some safety hospitals and teaching hospitals won鈥檛 fare as well as other facilities.

Doctors Wrestle With Mixed Messages When Deciding Whether To Prescribe Painkillers

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Though the CDC鈥檚 new prescribing guidelines follow a theme of less is more, another federal agency鈥檚 patient satisfaction surveys include questions about pain management that some say encourage doctors to prescribe the highly addictive medicines.

Feds Urge State Medicaid Programs To Encourage Long-Acting Contraceptives

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Medicaid spends billions on unintended pregnancies, and federal officials say better use of long-acting contraceptives, such as IUDs, offer advantages for women and are cost-effective.

Medicare鈥檚 Efforts To Curb Backlog Of Appeals Not Sufficient, GAO Reports

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Investigators from the GAO call for HHS to improve oversight of the Medicare appeals process and streamline it to make sure repetitive claims are handled more efficiently.

Study Suggests Federal Standard May Be Thwarting Some Transplant Patients

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Researchers report that performance standards set by federal health officials may have led to many patients being dropped from transplant lists without improving survival rates.

FAQ: Medicare Lays Out Plans For Changing Doctors鈥 Pay

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The effort, which will replace a controversial reimbursement schedule that began in 1997, is designed to move away from paying for quantity of services and focus instead on quality.

Medicare Delays Plans For New Star Ratings On Hospitals After Congressional Pressure

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The 鈥渙verall hospital quality鈥 rating is designed to help consumers who are sometimes confused by the variety of quality measures that the government already provides. But members of Congress had asked for the delay because of concerns that the methodology for the stars was not accurate.

How Medicare Drug Plans Hope To Follow Private Sector Lead

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The proposal that Medicare made this month to better control prescription drug costs involves testing strategies used with some success in the private sector.

Medicare Plans Score Higher Ratings And Millions In Bonuses

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The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.

Some Dialysis Patients Give Medicare Failing Grade On Ambulance Trial

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A Medicare trial aimed at averting billing fraud and waste in nonemergency ambulance service in eight states is drawing complaints from patients鈥 families and ambulance companies.

Governor Seeks New Concessions From CMS To Maintain Arkansas’ Medicaid Expansion

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Arkansas Gov. Asa Hutchinson will meet with federal officials to negotiate the future of the state鈥檚 Medicaid expansion program, which leading Republicans say could be killed if it鈥檚 not changed.

758 Hospitals Penalized For Patient Safety In 2016: Data Table

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Medicare is lowering its 2016 payments by 1 percent for 758 hospitals with high rates of potentially avoidable infections and complications such as blood clots, bed sores and falls. This is the second year of the Hospital-Acquired Conditions Reduction Program, which was mandated by the federal health law to reduce patient injuries. Below are the […]

California To Revamp Addiction Treatment For Medicaid Recipients

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Through what鈥檚 known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.

Don鈥檛 Just Renew Your Medicare Plan. Shopping Around Can Save Money.

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Enrollment for private Medicare Advantage and Part D drug plans begins Oct. 15 and consumer advocates urge seniors to check out prices to find the best deals.