The Time May Have Arrived for a Permanent “Doc Fix”
Congress appears serious about addressing a long-running problem: the need for an annual “Medicare doc fix” to address the problem stemming from the use of the sustainable growth rate formula, or SGR, to determine Medicare payments for physician services. For [...]
Safety-Net Hospitals Hurt More by Readmissions Reduction Program
Hospitals that care for large numbers of low-income seniors are disproportionately harmed by Medicare’s hospital readmissions reduction program, according to a new study. According to the study, Both patient dual-eligible status and a hospital's dual-eligible share of Medicare discharges have [...]
Medical Homes Model Showing Potential
The “medical homes” model for providing health care is showing promise as a way of reducing the cost of care, reducing utilization of unnecessary medical services, improving access to care, and improving population health. These are among the findings in [...]
Providers Receive Expanded Authority to Extend Presumptive Medicaid Eligibility
While hospitals and providers in 33 states have long enjoyed the ability to extend presumptive eligibility for Medicaid to children or pregnant women, that authority is now being extended in some states to any adults whose income appears likely to [...]
