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GAO Report Finds Medicare Advantage Risk Adjustment Model Underestimated Spending for Beneficiaries with Functional Limitations

On September 10, 2018, the United States Government Accountability Office (GAO) published a report titled “Medicare Advantage: Benefits and Challenges of Payment Adjustments Based on Beneficiaries’ Ability to Perform Daily...more

9/21/2018  /  GAO , Medicare , Medicare Advantage

OIG Releases Report on Vulnerabilities in the Medicare Hospice Program

On July 30, 2018, OIG released “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity: An OIG Portfolio” (the Report). The Report reviews hospice care since 2005 and describes key...more

8/10/2018  /  Hospice , Medicare , OIG

HHS Claims Budget Increases May Mean Reductions to Medicare Appeals Backlog

In a status report filed in connection with the American Hospital Association v. Price case, HHS projects significant reductions to the Medicare appeals backlog if the “legislative and budgetary measures proposed” in the...more

U.S. Senate Finance Committee Introduces Draft CHRONIC Care Bill

On October 27, 2016, the U.S. Senate Finance Committee released a discussion draft of a bill that seeks to improve treatment for Medicare beneficiaries with chronic illnesses, with an emphasis on increased payment for home...more

CMS Issues Pay Increase for Inpatient Psychiatric Facilities

On July 28, 2016, CMS issued a notice updating the prospective rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities. Beginning in fiscal year 2017, inpatient psychiatric facilities will...more

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