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  • Medicare Trustees Trace “Upward Trend” in HHA Expenditures

    June 16, 2018

    By: Ronald M. Schwartz, Writer, The Remington Report

    The Medicare Hospital Insurance (HI) Trust Fund (which funds Part A) is projected to run out of money by 2026—three years earlier than projected in last year’s Medicare Trustees report.

  • Physician Sues Hospital Based on Attempts to Restrict Referrals

    June 16, 2018

    By: Elizabeth Hogue, Attorney


    Dr. Stephen Zappala sued Steward Health Care on the basis that the hospital exerted immense personal and financial pressure on him and other physicians to refer patients only to Steward hospitals and specialists in order to increase

  • Trending Industry News

    June 05, 2018

    by: The Remington Report

    In this week's trending news, we read about a new CEO appointment and the acquisition of an IT company.

  • The GAO Report Urges the Expansion of Prior Authorization Programs and More

    June 05, 2018

    By: Ronald M. Schwartz, Writer, The Remington Report

    Since September 2012, the Centers for Medicare & Medicaid Services has subjected selected Medicare items and services to prior authorization and pre-claim reviews. Now, the congressional watchdog agency, the

  • WASHINGTON REPORT: Pre-Claim Review Demo Re-Start - What You Need to Know

    June 05, 2018

    By: Ronald M. Schwartz, Writer, The Remington Report

    The Centers for Medicare & Medicaid Services (CMS) plans to restart its pre-claim review demonstration, claiming it will be much improved from the controversial program the agency put on hold over a year ago. CMS

  • Washington Report: VA’s Private-Sector Care Program - Major Overhaul, Expansion

    May 22, 2018

    By: Ronald M. Schwartz, Writer, The Remington Report

    A major expansion of community care coverage for veterans outside the VA system would happen under pending legislation that cleared the House last week and could pass the Senate and be signed into law by Memorial Day

  • Why Should Medicare Advantage Plans Coordinate With PAC Providers

    May 22, 2018

    By: Lisa Remington, President, Remington Health Strategy Group, and Publisher, The Remington Report

    Medicare Advantage enrollment is projected to grow by 9% to 20.4 million in 2018. The CMS estimated that more than one-third of all Medicare

  • Rural Healthcare Given New Emphasis at CMS: Telehealth, DME and Improved Care

    May 13, 2018

    An interagency effort seeking to improve access and quality of care for rural Americans was unveiled last week by the Centers for Medicare & Medicaid Services. CMS’ first Rural Health Strategy is intended to provide a proactive approach on healthcare issues to ensure that the nearly one in

  • Patient’s Right to Freedom of Choice: Key Findings

    May 13, 2018

    By: Elizabeth E. Hogue, Attorney

    Based on the common law or court decisions, the Balanced Budget Act of 1997 (BBA), and regulations of the Medicare Program governing discharge planning in hospitals, patients clearly have the right to freedom of choice of providers. Both

  • Industry News Transforming Post-Acute

    May 07, 2018

    Three companies merge to create one of the largest provider of home-based care. In another announcement, payor Humana and Landmark develop a chronic care model for Medicare Advantage Members.

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