Tag: Medicare
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Medicare starts to overhaul the way it pays providers, rewarding them for quality, penalizing them for shortcomings
By Molly Burchett Kentucky Health News The Obama administration on Monday set a timeline for historic changes in how it pays doctors, hospitals and other health providers under Medicare, shifting...
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Elizabethtown doctors who paid millions to settle claims of bill-padding are sued by chemotherapy patients
“Eight former patients or their estates have sued the Elizabethtown cancer doctors who paid the government $3.7 million last June to settle claims they extended chemotherapy treatments to pad their...
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Only 1/4 of estimated number eligible for subsidized, private health insurance through Kynect have signed up for it
While 85,000 people are covered by private health plans through Kynect, that’s only one-fourth of the 340,000 that state officials estimated would be able to buy subsidized coverage through the...
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Kentucky Health Cooperative, largest private provider on state insurance exchange, gets $65 million loan to keep going
The Kentucky Health Cooperative, a non-profit, consumer-governed health insurance company, received a $65 million federal loan last month to keep it afloat just days before the second open-enrollment period began,...
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Ky. ranks 8th in the number of high-prescribing Medicare physicians for powerful narcotic painkillers and stimulants
Kentucky ranks eighth in Medicare physicians who are considered “high prescribers” of Schedule 2 medications, drugs that have the highest potential for abuse like oxycodone, fentanyl, morphine and Ritalin, according...
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St. Joseph London, doctors and others win the first of a dozen trials over allegations of unnecessary procedures at hospital
A jury has decided for the St. Joseph London hospital, several of its doctors and other defendants in a lawsuit that accused them of conspiring “to perform unnecessary, risky and...
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Medicare plans to pay for lung-cancer screening, a boon to Ky.
The Centers for Medicare and Medicaid Services plan to start paying for lung cancer screening with low-dose CT scans for people at high risk. Spiral CT (computed tomography), which is used...
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Nine hospitals in Kentucky get maximum Medicare penalty for readmissions; they blame socioeconomic factors
Article updated 10/20/2014 Nine hospitals in Kentucky, eight of them in Appalachia, have been hit with the highest penalty possible by Medicare for high rates of patient readmission. This is...
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Medicare ratings for nursing homes rely heavily on self-reported data; recent inspection data are available elsewhere
Next time you look at Medicare’s ratings for nursing homes, be aware that most of the information used to make the ranking is based on self-reported data and is not...
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Elizabethtown cancer clinic pays $3.7 million to resolve claims it diluted drugs, prolonged chemotherapy to make more money
Elizabethtown Hematology Oncology PLC and its owners has paid $3,739,325 to settle claims “that they submitted false claims for payment to the Medicare, Medicaid and the military’s medical provider for extending...