Sen. Ben Nelson

Senators blast Medicare audits, say RAC payments should be changed

Senators blast Medicare audits, say RAC payments should be changed

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The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during a roundtable hearing Wednesday.

Medicaid eligibility limits gaining momentum as a way to cut spending

Medicaid eligibility limits gaining momentum as a way to cut spending

As federal deficit-reduction talks continue, lawmakers from both sides are proposing legislation to tighten Medicaid eligibility rules. The legislators' collective goal is to trim program outlays by more than $13 billion. Not surprisingly, many providers are expressing concern over possible reductions in their largest funding source.