10 Recent Medicare, Medicaid Issues

Here are 10 issues dealing with Medicare or Medicaid that occurred in the past week, starting with the most recent.


1. Non-profit hospitals face a tough Medicare reimbursement road ahead following the release of the Office of Management and Budget's report on sequestration cuts, according to a report from Fitch Ratings.

2. A report from the Bipartisan Policy Center listed the 13 primary drivers that are behind increased U.S. healthcare spending.

3. U.S. Sen. John Kerry sponsored the Medicaid Information Technology to Enhance Community Health Act, or the MITECH Act, to expand meaningful use incentives for safety-net clinics and providers that serve predominantly lower-income Americans but do not qualify for the Medicaid EHR Incentive Program.

4. CMS said it intends to deny reimbursement for multi-analyte algorithm-based assays.

5. HHS Secretary Kathleen Sebelius announced enrollment in Medicare Advantage, the privatized version of traditional fee-for-service Medicare, is expected to increase 11 percent in the next fiscal year.

6. Indiana, New Mexico and Wisconsin were among some states that asked HHS to partially expand Medicaid under the Patient Protection and Affordable Care Act.

7. An investigation by the Center for Public Integrity found Medicare medical billing abuse and upcoding is on the rise as medical professionals have billed an additional $11 billion over the past decade.

8. CMS started accepting applications for the State Innovation Models initiative, which is a $275 million competitive funding opportunity for states to design and test multi-payor payment and delivery models.

9. Last week, the Massachusetts Supreme Judicial Court dismissed lawsuits filed by seven safety-net hospitals that claimed they were not reasonably reimbursed for Medicaid costs under the state's 2006 healthcare law.

10. The White House's Office of Management and Budget released a report saying that hospitals and other providers will see Medicare payment reductions totaling $11.1 billion this upcoming year, due to the Budget Control Act of 2011, unless Congress passes new measures to prevent the cuts.

More Articles on Medicare and Medicaid:

HCA Agrees to $16.5M Settlement Over Anti-Kickback, False Claims Charges

7 Projects Hospital CFOs Should Focus on in the Final Months of 2012

12 Recent Medicare, Medicaid Issues

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