Health Populi

JUNE 5, 2022

In 2006 the Medicare Part D program was implemented, covering older Americans for prescription drugs for the first time. Medicare further drove expansion of generic drug utilization, with co-pays for generics lower for Medicare enrollees than branded drugs. is that 9 in 10 medicines prescribed are generics. healthcare spending.

Overpayments 149

Overpayments Overpayment Medicare Medicare 149

HIT Consultant

MARCH 20, 2024

The Centers for Medicare and Medicaid Services (CMS) estimated that for payment year 2018 alone , it will recover $428.4 To address these concerns and other matters, CMS announced significant regulatory changes to the Medicare Advantage (MA) program beginning in 2024. million (net) and $4.7

Overpayments 52

Overpayments Overpayment Medicare Medicare 52

AIHC

APRIL 5, 2022

Audit Coding, Billing and Documentation for Accuracy Insurance carriers and government contractors have the authority to review any claims at any time. If the payer, such as Medicare, performs an extrapolation, reducing each overpayment dollar through appeal can mean thousands less to pay back.

Fraud 52

Fraud Compliance Medicare Medicare 52

Hall Render

FEBRUARY 23, 2024

Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

HIT Consultant

MARCH 1, 2022

In Ohio, unemployment overpayments reached $3.86 Consider more CMS oversight : Between 2008 and 2018, states spent a total of $44.1 billion on their MES and eligibility and enrollment systems, according to a 2020 report by the Government Accountability Office (GAO). billion during the pandemic. billion of that amount.

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52