Less than 20 percent of nursing homes currently meet the proposed staffing standards for long-term care facilities, a KFF brief revealed.
In September, CMS released a proposed rule with three main...
Hospital and specialty groups are urging CMS to amend aspects of the CY 2024 Outpatient Prospective Payment System (OPPS) proposed rule, including 340B Drug Pricing Program policies and price...
Provider organizations have made it clear they are not happy with the payment cuts CMS proposed in the 2024 Medicare Physician Fee Schedule (PFS). Additionally, groups have voiced concerns about...
The Medicare Shared Savings Program (MSSP) saved CMS $1.8 billion in 2022, marking the sixth consecutive year of overall savings for the program. This also represents the second-highest yearly savings since the program started in...
CMS has proposed minimum staffing standards for nursing homes, requiring facilities to provide residents with at least three hours of care per day.
The Minimum Staffing Standards for Long-Term Care...
The American Hospital Association wants it to be easier for hospitals nationwide to begin adopting episode-based payment models, such as bundled payments, the trade association wrote in a recent letter...
The Medicare Shared Savings Program (MSSP) saved Medicare $1.8 billion in 2022, with 63 percent of accountable care organizations (ACOs) earning payments for their performance.
This is the sixth...
CMS has reinstated the $50 fee for initiating a payment dispute under the No Surprises Act following a court ruling striking down a price hike earlier this year.
The non-refundable administrative fee...
CMS has increased Medicare payment rates for inpatient providers and long-term care hospitals (LTCHs) in the fiscal year (FY) 2024 Medicare hospital inpatient prospective payment system (IPPS) and LTCH...
CMS has finalized a 4.0 percent increase in Medicare Part A payments to skilled nursing facilities (SNFs) in fiscal year (FY) 2024.
The payment boost translates to $1.4 billion and is slightly higher...
CMS has finalized payment increases for inpatient psychiatric facilities (IPFs) and inpatient rehabilitation facilities (IRFs).
IPF Prospective Payment System
The IPF prospective payment system (PPS)...
CMS has proposed payment cuts in its calendar year (CY) 2024 Medicare Physician Fee Schedule (PFS), including a 3.34 percent decrease to the conversion factor that would reduce payment rates by 1.25...
CMS proposes in the Outpatient Prospective Payment (OPPS) rule to increase Medicare outpatient payments by 2.8 percent next year while bolstering hospital price transparency enforcement.
The OPPS rule...
CMS has proposed to pay $9 billion to hospitals impacted by payment cuts to the 340B Drug Pricing Program between 2018 and 2022.
The proposal is CMS’ remedy to cutting 340B payments from the...
CMS has released the calendar year (CY) 2024 Home Health Prospective Payment System (HH PPS) Rate Update proposed rule, which includes a 2.2 percent, or $375 million, cut to Medicare home health...
CMS has released a proposed rule for the end-stage renal disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2024. The...
National healthcare spending slowed during the COVID-19 public health emergency (PHE) as the entire industry experienced severe disruptions to standard care. Now that the PHE has ended, healthcare...
CMS will test a new primary care model in eight states with the hopes of improving patient care and increasing value-based opportunities for primary care organizations.
The Making Care Primary (MCP)...
Medicare improperly paid practitioners at a higher non-facility rate for services provided to skilled nursing facility (SNF) or hospital inpatients, leading to over $22 million in overpayments, a...
Inpatient rehabilitation facilities (IRFs) will have their Medicare claims reviewed either before or after payment as part of a demonstration CMS intends to take nationwide.
CMS recently announced on...
