As policymakers search for ways to save money during these difficult economic times, many are looking at state and municipal employee health plans for budget cuts. Subrogation is a highly effective technique that states can use to save healthcare costs without cutting benefits or increasing premiums. Subrogation means if a member of a state employee [...]
The Centers for Medicare & Medicaid Services (CMS) has proposed a rule that would require those who receive Medicare and Medicaid overpayments to report and return the overpayments within 60 days of when the overpayment was identified. The rule would also make providers and suppliers liable for the 10 years preceding the date an overpayment [...]
If employees have never experienced a dependent eligibility audit, they are usually unsure why they’re being asked to provide proof of dependent eligibility. To mitigate this confusion, we suggest that employers include language in plan communications that reserves their right to require proof of dependent eligibility, as well as to perform routine eligibility audits. Read [...]
President Obama recently released his proposed FY2013 budget, which outlines his fiscal goals for the United States. In the budget, the President proposes to cut healthcare spending by $360 billion over the next decade, with $300 billion coming out of Medicare through reduced payments to healthcare providers. Despite these cuts, the budget still proposes to allocate the Department of Health and Human Services (HHS) nearly $950 billion in FY2013, with almost $500 billion proposed for the Center for Medicare and Medicaid Services (CMS) alone.
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