A recent Office of Inspector General (OIG) audit recommended that CMS remove the inpatient prospective payment system (IPPS) new hospital capital cost exemption, which in recent years resulted in new...
CMS will hold off on hospital price transparency noncompliance penalties for the moment, a CMS spokesperson told Bloomberg Law. CMS proposed an increase in penalty amounts for noncompliant hospitals in...
AHA released comments regarding CMS’ guidance on notice and consent and public disclosure provisions under the No Surprises Act, recommending that CMS make some changes to the documents to reduce...
In a letter to the Department of Justice’s (DOJ) Antitrust Division, AHA expressed concern over the implications of UnitedHealth Group’s $8 billion acquisition of Change Healthcare, which...
Healthcare mergers and acquisitions have promised to bring lower costs, higher quality, and better access to care. But a new executive order is challenging the rapid pace of consolidation in...
CMS has finalized an approximate $2.3 billion increase in hospital payments next year, including a 2.5 percent bump for hospital reimbursement rates under Medicare’s Inpatient Prospective Payment...
CMS recently released four final Medicare payment rules for fiscal year (FY) 2022. The rules cover new rates and other policies for skilled nursing facilities (SNFs), hospice agencies, inpatient...
Two Senators introduced the Provider Relief Fund Deadline Extension Act, a bipartisan bill that would extend all Provider Relief Fund (PRF) benefits through the end of the year or the end of the...
“There’s no antitrust impact at all,” Davis continued. Davis told The Augusta Chronicle that the deal will likely be ready for review by the Georgia attorney general’s office by...
AMA raised concerns over Congress’s “indifference” to the incoming pay cuts and financial instability of the Medicare physician payment system in a recent letter to congressional...
In efforts led by the Department of Justice (DOJ), $3.1 billion was paid out to the federal government and private persons in 2020 as a result of healthcare fraud investigations, according to an annual...
DaVita and its former CEO Kent Thiry are facing a two-count indictment for healthcare labor market collusion. A federal grand jury in Denver charged the dialysis and kidney care company and its ex-CEO...
If finalized, the Quality Payment Program (QPP) will undergo significant policy changes under the Medicare Physician Fee Schedule (PFS) proposed rule. Most notably, the rule introduced the first seven...
CMS is seeking greater hospital price transparency enforcement through the newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022.
The rule proposed...
Funding for the Biden administration’s new infrastructure package should not come with the sacrifice of extending mandatory Medicare sequestration through 2031, the AHA and other major healthcare...
CMS has proposed a new rule that would update the Medicare Physician Fee Schedule and seek more health equity and telehealth utilization among physicians.
The proposed rule would establish a new...
An executive order has serious implications for healthcare consolidation, and specifically, hospital mergers and acquisitions.
The President signed the executive order on Friday in an effort to boost...
Akron General Health System (AGHS), a hospital system in Ohio owned by the Cleveland Clinic Foundation, reached a civil settlement and agreed to pay $21 million for allegedly committing healthcare...
The American Hospital Association (AHA) released comments on CMS’s FY 2022 Inpatient Prospective Payment System (IPPS) proposed rule, which would increase inpatient Medicare reimbursement rates...
CMS has issued a proposed rule that would create a new value-based payment pathway for end-stage renal disease (ESRD) facilities, as well as update Medicare rates for renal dialysis services next...
