Category: CMS

The Centers for Medicare & Medicaid Services on Wednesday announced that it will offer “end-to-end” ICD-10 testing for a “small sample group of providers” this summer. read more …read more    

Nursing homes are widely used by Medicare beneficiaries who require rehabilitation after hospital stays. But according to a recent study led by a researcher at the University of North Carolina at Chapel Hill School of Nursing, a high percentage of Medicare patients who are discharged from nursing homes will return to the hospital or the…

The annual bill for Medicare and Medicaid fraud hit 11 digits in 2012. That’s tens of billions. The numbers might be daunting, but University of Cincinnati research shows that recent strategies to combat this unique form of white-collar crime are increasingly effective. …read more    

Today’s headlines include reports about Medicaid expansion challenges in Virginia and Arkansas. …read more    

Tasked with the responsibility of ensuring quality healthcare while managing costs, Blue Shield of California uses MedeAnalytics Medical and Medicaid Management solution to improve collaboration and engagement with providers. …read more    

Fundamental to the success of your organization is controlling the rise in medical expenses while ensuring quality care. MedeAnalytics Medical Management offers data insight to help you identify cost drivers, evaluate utilization programs, boost negotiating power, and profile stakeholders—while improving collaboration in policy decision-making. …read more    

Also in the news, other states — including Missouri, Wyoming and Utah — continue to contemplate their own efforts to expand the program or health insurance coverage for low-income people. …read more    

Hillary Clinton headlines the 2014 Healthcare Information and Management Systems Society’s conference in Orlando, Fla. next week, along with keynote speakers Aetna CEO Mark Bertolini, Marilyn Tavenner, Centers for Medicare & Medicaid Services administrator, and Karen DeSalvo, M.D., the new national coordinator for health IT. read more …read more    

The following is a guest blog post by Carrie Yasemin Paykoc, Senior Instructional Designer at The Breakaway Group (A Xerox Company). Check out all of the blog posts in the Breakaway Thinking series. I apologize in advance, but I am still mourning the Super Bowl loss of the Denver Broncos. I can’t stop replaying each…

Today’s headlines include reports about the doubts that now surround Arkansas’ Medicaid expansion plan — a compromise plan that has gained national attention. …read more