There was a saying during the election that Donald Trump’s supporters were taking him seriously and not literally, while his detractors took him literally and not seriously. As the president-elect, many are starting to worry that neither camp got it right.
As of January 2016, there were 433 Medicare Shared Savings Program (MMSP) Accountable Care Organizations (ACOs) with almost 7.7 million assigned beneficiaries and more than 14,000 participants (a participant may be a group or an individual).
You may have heard that a transformation of Medicare’s physician payment program is in the works.
When Retirees Earn Post-Retirement Income, is Your Agency Responsible for Their Increased Costs to Medicare?
After the retirement parties are over, some individuals never truly retire. Instead of taking it easy, some retirees choose to perform post-retirement work for non-CalPERS employers.
A registered pharmacist, the owner of two Alabama pharmacies, pleaded guilty to obstructing a 2012 federal audit of Medicare claims and agreed to pay a $2.5 million penalty to the government.
The Medicare Payment Advisory Commission (“MedPAC”) met in Washington, DC, on September 8-9, 2016.
Lawmakers are again eyeing ways to modernize the Medicare system, including a revamping of the identification cards used by Medicare beneficiaries.
The Arizona Supreme Court, in an interesting case involving a Medicare-related coverage dispute between a Medicare Advantage plan administrator, United Behavioral Health (UBH), and two inpatient psychiatric care providers, held that the Medicare administrative appeals process preempts the arbitration language contained in the UBH provider agreements.