Care Delivery

The savings that Medicare Advantage plans can bring to the table may have been over-weighted after a recent study revealed seniors who switch from traditional Medicare plans already have lower healthcare costs before they join an MA plan.

CMS has finalized a rule to ensure that states cannot divert portions of Medicaid provider payments to third parties beyond what is allowed in the statute.

CMS has proposed a new rule that aims to improve transparency around accrediting organizations (AOs) that certify healthcare facilities in the Medicare program. Specifically, the rule creates a new process for AOs to follow if there is a sale, transfer or purchase of assets in the ownership of the organization.

Not all states are equal when it comes to the job quality and opportunity of being a nurse the U.S. While the profession is in high demand, with expectations that the industry will double the rate of the average occupation by 2026, there are several challenges to being a nurse depending on location.

HHS and CMS have launched a set of new payment models, dubbed the Primary Cares Initiative, that aim to transform primary care through value-based options. The new models will also test financial risk and performance-based payments for primary care practitioners and clinicians.

Both low- and high-income women experience significant delays in breast cancer diagnosis and treatment when they’re switched from affordable to high-deductible health plans (HDHPs), according to a study published in Health Affairs.

Some 33.3% of cancer patients add their own alternative treatment regimen to whatever conventional cancer care they’re receiving—and almost 30% of those don’t tell their doctors they’re doing so.

As incidents producing mass casualties can occur anywhere at any time, leadership at trauma centers of all levels do well to prepare. A good place to start is learning from the experiences of urban hospitals dealing with shooting victims every day or close to it.

The CDC has confirmed nearly 600 cases of a deadly multi-drug-resistant fungus in the U.S. as of February 28, with most cases concentrated in New Jersey, New York and Illinois.

Heart attack patients aged 65 and up stay hospitalized longer than those aged 65 or under—yet the seniors ring up significantly smaller bills per stay. The bad news is that the “savings” likely come in the form of fewer percutaneous coronary interventions (PCIs, aka angioplasties) to open blocked heart arteries nonsurgically.

It’s been 33 years since the federal government began requiring hospitals to take in patients after stabilization in the ED if the case called for admission and the hospital had the clinical expertise to provide the extended care. Yet Medicaid patients and the uninsured still have higher odds of getting transferred than those with high-quality insurance plans.

Women and uninsured individuals are the most likely candidates to skimp on daily medications and practice other money-saving techniques in an effort to reduce their prescription drug costs, according to a report published by the CDC this March.