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CMS sets minimum staffing standards for nursing homes

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A new final rule from CMS establishes minimum staffing standards for nursing homes at a national level for the first time in history. The rule states that nursing homes participating in Medicare and...

Portal allows public reporting of anti-competitive behaviors

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A new online portal allows the public to report any anti-competitive behaviors they see in the healthcare sector that may be impacting quality of care and affordability. The Federal Trade Commission...

HHS finalizes 340B Administrative Dispute Resolution process

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A new rule from HHS finalizes a revised Administrative Dispute Resolution (ADR) process under the 340B Drug Pricing Program (340B), which will allow covered entities to address disputes with...

Half of private equity-owned physician practices are resold within 3 years

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More than half of private equity-acquired physician practices underwent an exit within three years of acquisition, with most practices being resold to other private equity firms, according to a study...

About 1 in 5 healthcare bankruptcies in 2023 owned by PE firms

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A new report reveals a record year for healthcare bankruptcies as more private equity-owned companies filed for bankruptcy in 2023. There were approximately 80 healthcare bankruptcies last year,...

Hospital merger and acquisition activity generated $12B in Q1 2024

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Hospital merger and acquisition activity in quarter one of 2024 hit a first-quarter high since 2020, with 20 announced transactions generating $12 billion, a Kaufman Hall report found. The number of...

Nearly 4 of 5 physicians employed by hospitals, corporations

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Widespread consolidation in healthcare is affecting physicians, according to a new report from the Physicians Advocacy Institute (PAI) and Avalere Health. The report analyzed updated data from IQVIA...

AMA, NAACOS, AHIP share how to succeed in value-based care arrangements

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The American Medical Association (AMA), the National Association of Accountable Care Organizations (NAACOS), and AHIP have released a playbook on value-based care best practices, highlighting the...

OIG: Improve Medicare rate-setting for clinical diagnostic lab tests

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CMS’ procedures for setting Medicare rates for clinical diagnostic lab tests could improve for future public health emergencies, according to a new report from the Office of the Inspector General...

CMS proposes payment increases for IPPS hospitals and LTCHs

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CMS has proposed a 2.6 percent payment rate increase for acute care hospitals paid under the inpatient prospective payment system (IPPS) in FY 2025. The payment update reflects a hospital market...

AMGA urges Congress to extend value-based care incentives, prevent pay cuts

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The American Medical Group Association (AMGA) has urged congressional leaders to ensure provider stability by incentivizing value-based care, preventing additional Medicare payment cuts, and preserving...

Healthcare orgs reflect on top vendors for denials management services

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When working with vendors for denials management services, healthcare organizations are satisfied with their levels of expertise, overturn rates, and denial prevention, according to a KLAS report. The...

Strategies for integrating specialty care into value-based care models

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Value-based care models must address both primary and specialty care to improve patient outcomes and reduce spending. A CMS Innovation Center strategy details ongoing efforts to integrate specialty...

Risant Health completes Geisinger acquisition

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Washington DC-based Risant Health recently announced the complete acquisition of Geisinger, a health system in Pennsylvania that serves approximately 1.2 million people. The 10-hospital system, with...

CMS releases tool to help hospitals with price transparency

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CMS recently released a web-based validation tool that assists hospitals with price transparency compliance. The updated V2.0 Online Validator Tool helps hospitals develop machine-readable files to...

CMS proposes FY 2025 Medicare payment rates for hospice, IPFs

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CMS proposes a 2.6% hospice payment update for the fiscal year (FY) 2025, which would add about $705 million to payments versus this year. The newly proposed rule (CM-1810-P) states the update comes...

Skilled nursing facility proposed rule updates payment rates, VBP program

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CMS has released the Skilled Nursing Facility Prospective Payment System (SNF PPS), proposing a payment rate increase, revisions to nursing home enforcement authority, and updates to the quality...

CMS proposes 2.8% payment rate boost for inpatient rehabilitation facilities

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CMS has proposed to increase payment rates for inpatient rehabilitation facilities (IRFs) by 2.8 percent in 2025. The payment update in the IRF Prospective Payment System (PPS) reflects a market...