Verma unlikely to save struggling nonrisk ACOs

Verma unlikely to save struggling nonrisk ACOs

"The majority of ACOs, while receiving many waivers of federal rules and requirements, have yet to move to any downside risk," Verma said Monday at the American Hospital Association annual membership meeting. "And even more concerning, these ACOs are actually increasing Medicare spending, and the presence of these 'upside-only' tracks may be encouraging consolidation in the marketplace, reducing competition and choice for our beneficiaries."

Thousands mistakenly enrolled during California’s Medicaid expansion

Thousands mistakenly enrolled during California’s Medicaid expansion

By Chad Terhune @ Fierce Healthcare 

California signed up an estimated 450,000 people under Medicaid expansion who may not have been eligible for coverage, according to a report by the U.S. Department of Health and Human Services’ chief watchdog.

In a Feb. 21 report, the HHS’ inspector general estimated that California spent $738.2 million on 366,078 expansion beneficiaries who were ineligible. It spent an additional $416.5 million for 79,055 expansion enrollees who were “potentially” ineligible, auditors found.

Read the entire article: Fierce Healthcare

Why MedPAC wants to scrap MIPS

Why MedPAC wants to scrap MIPS

MedPAC recommended the government replace MIPS because it is costly to physician practices and won’t lead to higher quality care, says the man who served as the commission’s director for 15 years.