CMS will likely overpay Medicare Advantage plans by hundreds of billions of dollars over the next 10 years if the agency doesn’t account for coding intensity in its risk scores.

For older individuals, a visit to the physician can reduce the possibility for a hospital stay down the road. A study, published in The BMJ, analyzes the correlation between continuity of care with primary care physicians and related hospital admissions for older patients.

President Donald Trump pushed back the timeline for repealing and replacing the Affordable Care Act (ACA), saying it could take until 2018 and calling the process “very complicated” in a Feb. 5 interview with Fox News’ Bill O’Reilly.

Technology has taken the healthcare industry by storm, but the replacement of human interaction by digital health leaves patients feeling cold and left behind. 

CMS said 9.2 million people signed up for health coverage through the federal Healthcare.gov site during the open enrollment period that ended Jan. 31, down from 9.6 million reported to have signed up last year. 

A report from the Healthcare Supply Chain Association (HSCA) said the group purchasing organizations (GPOs) it represents help cut supply chain costs by an average of 15 percent and reduce drug spending by 25 percent.

A Recovery Audit Contractor (RAC) review from CMS isn’t cause for celebration for most healthcare organizations, but it can be beneficial if those facilities take proactive steps to identify underpayments.

CMS has indicated a new rule aimed at stablizing the Affordable Care Act (ACA)'s insurance exchanges for 2018 is coming, but it isn't offering many details.