HHS says recent settlements of Medicare claims appeals and increased funding from Congress should allow the department to eliminate its claims appeals backlog in fiscal year (FY) 2022—one year longer than a district court's order that HHS eliminate the backlog by FY 2021.
While several states have policies on the books to ensure patients' medical costs are covered when they're treated out of network during an emergency, a "loophole" in these laws can leave patients with unexpected high bills. That's what happened to Drew Calver of Texas after he received care for a heart attack, Kaiser Health News reports.
A short break from exercising could have long-term health consequences, and the chances of negative effects increase with age, according to two new studies, Gretchen Reynolds writes for the New York Times.
With 2018's global merger and acquisition activity on pace to break records, it appears that the number and scale of M&A deals won't be decreasing anytime soon. To provide a sense of the scale of the changes in the health care space, we've compiled the four biggest health care mergers and acquisitions rumored or pending right now.
Next Generation ACOs generated a net savings of about $62 million for Medicare during their first performance year, according to a CMS report released Monday. Advisory Board's Yulan Egan says these results show that CMS will likely continue to "accelerate the transition to downside risk," and shares three other takeaways providers should know.