CMS Proposes Rule to Curb Medicaid Payments Amid Rising Costs
CMS proposes a rule to reduce Medicaid payments, capping rates based on Medicare standards. Stakeholders can comment before final rule expected later this year.
Federal Payments for Medicare Advantage Surpass Traditional Medicare
Discover how Medicare Advantage payments are set to exceed traditional coverage, impacting costs and payment models, as reported by MedPAC.
Medicaid Intergovernmental Transfers: Addressing Abuse and Ensuring Fiscal Integrity
Explore Medicaid intergovernmental transfers (IGTs) abuse, federal oversight challenges, and policy reform opportunities to restore Medicaid fiscal integrity and ensure equitable provider payments.
Medicare Commission Suggests Payment Cuts for Profit-Generating Elder Care Providers
The Medicare Payment Advisory Commission recommends reducing payments to home health agencies and hospices due to strong profit margins revealed in 2024 Medicare claims data, aiming to optimize Medicare spending and reimbursement policies for elder care providers.
State Medicaid Provider Payment Cuts Intensify Amid Budget Shortfalls
States like North Carolina and Idaho are reducing Medicaid provider payments due to budget shortfalls, risking healthcare access for vulnerable populations and straining provider networks.