Tony Pugh

A government watchdog agency wants Medicare to tighten its oversight of billing claims from opioid treatment programs after an audit found some providers received about $17.8 million in potentially improper payments.

The Biden administration released initial draft guidance on Monday seeking public comment on provisions of the Inflation Reduction Act that allow Medicare prescription drug plan enrollees to pay out-of-pocket drug costs in monthly installments throughout the plan year beginning in 2025.

The groups of doctors, clinicians, and hospitals that provide coordinated care for beneficiaries in traditional Medicare saved the program $1.8 billion in 2022, the Biden administration reported Thursday.

States will be required to report health quality measures for Medicaid beneficiaries under a final rule released Monday by the Biden administration.

Nursing home industry calls for flexibility on the Biden administration’s upcoming proposal for minimum nursing home staffing requirements may have received an unexpected boost this week.

Health and Human Services Secretary Xavier Becerra on Wednesday defended a Biden administration proposal that would boost the numbers of direct-care workers at nursing homes.

The Biden administration on Friday reopened a federal portal for the initiation of new billing disputes stemming from the No Surprises Act.

The Biden administration issued a final rule Monday specifying how and when the Centers for Medicare & Medicaid Services must determine and impose civil monetary penalties for Medicare secondary payers that fail to meet federal reporting obligations.

The Biden administration’s move to beef up staffing at US nursing homes faces a slew of demographic, financial, and workforce headwinds that have proved insurmountable in the past and threaten to derail the effort in the future.

The Biden administration plans to issue a final rule on Thursday to curb the sale and availability of “short-term limited-duration insurance” plans, which critics say provide low-cost, but low-quality, coverage that skirts consumer protections in the Affordable Care Act.