CMS' risk-adjustment changes under the Next Generation ACO Model sparked concerns from some ACOs that they couldn't make money under the program.
A list of common billing codes do little to ensure patients are getting quality care, doctors told the CMS during a call Wednesday.
The CMS says the University of Maryland Medical Center violated the Emergency Medical Treatment and Labor Act with its handling of a mentally ill patient who was found in just a gown and socks outside the center's midtown Baltimore campus on a freezing January night.
Several lawmakers have asked the Trump administration to boost Puerto Rico's Medicare Advantage rates, which are now 43% below the national average, citing troubling access to care issues on the island.
The CMS may revoke Wake Forest Baptist Health's ability to bill Medicare after several patients received erroneous cancer diagnoses due to poor lab oversight.
Hospitals' Medicare margins are expected to continue falling in 2018, according to MedPAC. The aggregate margin hit a negative 9.6% across hospitals in 2016 and could sink to a negative 11% this year.
Prosecutors say a 43-year-old New Jersey man and others used The Good Samaritans of America and offers of free ice cream to gain access to low-income senior housing complexes and convince them to submit to unnecessary genetic testing.
The CMS wants to hear from physicians about potential revisions to evaluation and management visit codes.
The CMS will now cover diagnostic laboratory tests using gene sequencing technology for Medicare cancer patients. The agency said the tests can help patients and their oncologists make better treatment decisions.
The CMS wants feedback about how to best establish a unified appeals process and more integrated care experience for patients eligible for both Medicare and Medicaid.
The CMS updated its star ratings in December with a new formula, but a Modern Healthcare analysis shows specialty hospitals perform much better than major teaching hospitals even though they don't report all the measures.
A new study shows that heart attack patients fared better when hospitals spent more on their care. Clinicians hope that information will convince the CMS to drop plans to penalize them for high costs of care.